Hines, Jennifer

Hines, Jennifer is an individual health care provider with primary practice located at 204 Hampton Dr , Venice CA 90291-2623. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hines, Jennifer can be contacted via phone (310) 396-6468.

Contact Information

Primary practice address
204 Hampton Dr Venice CA 90291-2623
Phone: (310) 396-6468
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149-013458 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 26715 California

Profile Details

NPI number 1861641466
LBN Legal business name Hines, Jennifer
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2008
Last updated Mar 5th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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