Individual
JENNIFER HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 ROSE ST, PORTSMOUTH, OH 45662-5371
(740) 285-5248
Mailing address
1112 ROSE ST, PORTSMOUTH, OH 45662-5371
(740) 285-5248
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
11/21/2024
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