Jennings, Christine Jo
Jennings, Christine Jo is an individual health care provider with primary practice located at 406 N Main St , La Fayette GA 30728-2424. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Jennings, Christine Jo can be contacted via phone (706) 638-2339.Contact Information
Primary practice address
406 N Main St
La Fayette GA 30728-2424
Phone: (706) 638-2339
Fax: (706) 638-7400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 001559 | Georgia |
Profile Details
| NPI number | 1285969089 |
|---|---|
| LBN Legal business name | Jennings, Christine Jo |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2009 |
| Last updated | Oct 12th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285969089 | NPPES |
| Georgia | MEDICAID | 00484811C |
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