Vonfeldt, Jena

Vonfeldt, Jena is an individual health care provider with primary practice located at N3095 Lake Dr , Wautoma WI 54982-7048. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Vonfeldt, Jena can be contacted via phone (406) 212-3293.

Contact Information

Primary practice address
N3095 Lake Dr Wautoma WI 54982-7048
Phone: (406) 212-3293
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X BBH-LCSW-LIC-55436 Montana

Profile Details

NPI number 1194383281
LBN Legal business name Vonfeldt, Jena
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2019
Last updated Aug 29th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194383281 NPPES
Washington MEDICAID 1026117

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