Walter, Jennifer Rose

Walter, Jennifer Rose is an sole proprietor health care provider with primary practice located at 38882 Mentor Ave , Willoughby OH 44094-7875. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Walter, Jennifer Rose can be contacted via phone (440) 953-9999.

Contact Information

Primary practice address
38882 Mentor Ave Willoughby OH 44094-7875
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.0800219.SUPV Ohio

Profile Details

NPI number 1104056373
LBN Legal business name Walter, Jennifer Rose
Credentials LISW-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2009
Last updated Nov 27th, 2019 - about 5 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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