Vines, Jennifer Rogers

Vines, Jennifer Rogers is an individual health care provider with primary practice located at 601 W Saint Mary Blvd Suite 400, Lafayette LA 70506-3568. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Vines, Jennifer Rogers can be contacted via phone (337) 235-5088.

Contact Information

Primary practice address
601 W Saint Mary Blvd Suite 400 Lafayette LA 70506-3568
Phone: (337) 235-5088
Fax: (337) 261-1152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 101YM0800X Louisiana

Profile Details

NPI number 1629047402
LBN Legal business name Vines, Jennifer Rogers
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629047402 NPPES
Louisiana MEDICAID 1336335

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