Whitehead, Jeanne K

Whitehead, Jeanne K is an individual health care provider with primary practice located at 4656 W Jefferson Blvd Suite 150, Fort Wayne IN 46804-6857. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Whitehead, Jeanne K can be contacted via phone (260) 432-4346.

Contact Information

Primary practice address
4656 W Jefferson Blvd Suite 150 Fort Wayne IN 46804-6857
Phone: (260) 432-4346
Fax: (260) 432-4860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34003073A Indiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35000690A Indiana

Profile Details

NPI number 1801843255
LBN Legal business name Whitehead, Jeanne K
Credentials LCSW, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 8th, 2007 - about 19 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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