Keen, Jennifer L
Keen, Jennifer L is an sole proprietor health care provider with primary practice located at 33 Sea Meadow Dr , Little Egg Harbor Twp NJ 08087-9726. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Keen, Jennifer L can be contacted via phone (609) 404-6505.Contact Information
Primary practice address
33 Sea Meadow Dr
Little Egg Harbor Twp NJ 08087-9726
Phone: (609) 404-6505
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904011761 | Virginia |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05749700 | New Jersey |
Profile Details
NPI number | 1811696545 |
---|---|
LBN Legal business name | Keen, Jennifer L |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 2nd, 2023 |
Last updated | Mar 2nd, 2023 - about last year |
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 | 1811696545 | NPPES |
New Jersey | Other | 0450360685 | LLC |
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