John, Jenifer Elizabeth

John, Jenifer Elizabeth is an individual health care provider with primary practice located at 261 Broadway St E , Monticello MN 55362. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. John, Jenifer Elizabeth can be contacted via phone (763) 262-3077.

Contact Information

Primary practice address
261 Broadway St E Monticello MN 55362
Phone: (763) 262-3077
Fax: (763) 262-1113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 07448 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0875 Minnesota

Profile Details

NPI number 1427131713
LBN Legal business name John, Jenifer Elizabeth
Credentials MA LMFT LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427131713 NPPES
Other 46P17CO BCBS
Other 6267051 BCBS
Other 390C5JO BCBS

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