Walker, Jennifer R
Walker, Jennifer R is an sole proprietor health care provider with primary practice located at 12511 Walnut Dr , Conneaut Lake PA 16316-4349. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Walker, Jennifer R can be contacted via phone (814) 671-8739.Contact Information
Primary practice address
12511 Walnut Dr
Conneaut Lake PA 16316-4349
Phone: (814) 671-8739
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | PC004402 | Pennsylvania |
Profile Details
| NPI number | 1720109069 |
|---|---|
| LBN Legal business name | Walker, Jennifer R |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jan 9th, 2024 - about 10 months 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 | 1720109069 | NPPES |
| Pennsylvania | MEDICAID | 1029403570001 |
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