Northern, Jennifer
Northern, Jennifer is an individual health care provider with primary practice located at 2285 Benton Rd Ste D103 , Bossier City LA 71111-3465. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Northern, Jennifer can be contacted via phone (318) 584-7197.Contact Information
Primary practice address
2285 Benton Rd Ste D103
Bossier City LA 71111-3465
Phone: (318) 584-7197
Fax: (318) 584-7080
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CIT-5386 | Louisiana |
Profile Details
NPI number | 1679171300 |
---|---|
LBN Legal business name | Northern, Jennifer |
Credentials | CIT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 14th, 2020 |
Last updated | Dec 9th, 2021 - about 3 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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