Individual
JENNIFER ANN MCCOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4411 WASHINGTON AVE STE 300, EVANSVILLE, IN 47714-0900
(812) 479-1916
(812) 479-5014
Mailing address
4411 WASHINGTON AVE STE 300, EVANSVILLE, IN 47714-0900
(812) 479-1916
(812) 479-5014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003926A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200238820
—
IN
Enumeration date
03/17/2006
Last updated
12/06/2021
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