Individual
JENNIFER LYNN EMMERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6446 SR 179, SUITE 207-B, SEDONA, AZ 86351-7990
(928) 451-4572
Mailing address
100 REDROCK RD, SEDONA, AZ 86351-8656
(928) 451-4572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
15771
AZ
1041C0700X
Clinical Social Worker
Primary
6801084037
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9354452
PRIVATE HEALTHCARE SYSTEM
MA
01
—
BCBS
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/14/2006
Last updated
03/17/2017
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