Voth, Jennifer
Voth, Jennifer is an individual health care provider with primary practice located at 4155 E Harry St , Wichita KS 67218-3725. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Voth, Jennifer can be contacted via phone (800) 423-1342.Contact Information
Primary practice address
4155 E Harry St
Wichita KS 67218-3725
Phone: (800) 423-1342
Fax: (785) 628-3113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 246 | Kansas |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 318 | Kansas |
Profile Details
| NPI number | 1063455525 |
|---|---|
| LBN Legal business name | Voth, Jennifer |
| Credentials | LCP, LCAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Sep 14th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063455525 | NPPES |
| Kansas | MEDICAID | 200451650C |
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