Mann, Jennifer
Mann, Jennifer is an individual health care provider with primary practice located at 1200 Hamilton Blvd , Peoria IL 61606-1525. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mann, Jennifer can be contacted via phone (309) 671-4681.Contact Information
Primary practice address
1200 Hamilton Blvd
Peoria IL 61606-1525
Phone: (309) 671-4681
Fax: (309) 589-7981
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 149015726 | Illinois |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 149015726 | Illinois |
Profile Details
NPI number | 1942540109 |
---|---|
LBN Legal business name | Mann, Jennifer |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 26th, 2013 |
Last updated | Feb 26th, 2013 - 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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