Doctor Name: | JENNIFER REBECCA CONLEY |
NPI Number: | 1699019992 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | 3677 |
Business Practice Address: | 225 Carlton Davidson Ln Coal Grove, OH - 456382924 |
Business Phone Number: | 7403547702 |
Business Fax Number: | 7403531662 |
Mailing Address: | 225 Carlton Davidson Ln, COAL GROVE |
State: | OH |
Postal Code: | 456382924 |
Phone Number: | 7403547702 |
Fax Number: | 7403531662 |
NPI Enumeration Date: | 11/27/2012 |
NPI Last Update Date: | 10/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 3677 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |