Koesters, Jenna Beth
Koesters, Jenna Beth is an individual health care provider with primary practice located at 720 Armstrong St , Saint Marys OH 45885-1800. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Koesters, Jenna Beth can be contacted via phone (419) 394-7451.Contact Information
Primary practice address
720 Armstrong St
Saint Marys OH 45885-1800
Phone: (419) 394-7451
Fax: (419) 394-8051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C.1901819 | Ohio |
Profile Details
| NPI number | 1013405299 |
|---|---|
| LBN Legal business name | Koesters, Jenna Beth |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2018 |
| Last updated | Apr 15th, 2019 - about 6 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 | 1013405299 | NPPES |
| Ohio | MEDICAID | 0295403 |
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