Martin, Jennifer Dawn

Martin, Jennifer Dawn is an sole proprietor health care provider with primary practice located at 3040 Riverside Dr Ste 218 , Columbus OH 43221-2579. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Martin, Jennifer Dawn can be contacted via phone (614) 636-0334.

Contact Information

Primary practice address
3040 Riverside Dr Ste 218 Columbus OH 43221-2579
Phone: (614) 636-0334
Fax: (614) 548-8663
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E. 1200549 Ohio
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E. 1200549 Ohio

Profile Details

NPI number 1104214824
LBN Legal business name Martin, Jennifer Dawn
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2015
Last updated Mar 13th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104214824 NPPES
Ohio MEDICAID 1104214824

Popular Providers