Individual
JENNIFER VENABLE-HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PIP
Contact information
Practice address
23 WISTERIA PL, MILLBROOK, AL 36054-1819
(334) 354-2418
Mailing address
6719 TAYLOR CIR, MONTGOMERY, AL 36117-7706
(334) 954-6010
(334) 649-6399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05351464C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51 538686
BLUE CROSS BLUE SHIELD
AL
Enumeration date
03/26/2007
Last updated
08/05/2021
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