Jennifer Ann Fort in Victoria - Marriage & Family Therapist

Jennifer Ann Fort - NPI 1770637704

Jennifer Ann Fort is a Marriage & Family Therapist in Victoria, Texas. Jennifer Ann Fort practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Jennifer Ann Fort is 1770637704. The last update date is 2007-07-09.

Jennifer Ann Fort's current location address is 608 Newhaven St, Victoria, Texas. You can contact this provider via phone number 3615752796 and fax number 3615752796. The mailing address for Jennifer Ann Fort is 608 Newhaven St, Victoria, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Ann Fort
Address 608 Newhaven St, Victoria, Texas
Phone Number 3615752796
Fax Number 3615752796
Sole Proprietor Y
Credentials LPC, LMFT

NPI Number Detail

NPI Number 1770637704
Provider Enumeration Date 2007-01-23
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 608 Newhaven St
City Victoria
State Texas (TX)
Post Code 779042558
Phone Number 3615752796
Fax Number 3615752796

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Licence No 5124
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6642LC TX BLUE CROSS BLUE SHIELD

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FAQs about Jennifer Ann Fort

What is the unique 10-digit identifier code assigned to Jennifer Ann Fort by the Centers for Medicare & Medicaid Services?

The Jennifer Ann Fort has been issued the NPI (National Provider Identifier) 1770637704 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Jennifer Ann Fort is physically located?

The Jennifer Ann Fort is situated at the following address: 608 Newhaven St, Victoria, TX 779042558.

What is Jennifer Ann Fort's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jennifer Ann Fort is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1770637704 to Jennifer Ann Fort?

The Centers for Medicare & Medicaid Services originally issued the 1770637704 to Jennifer Ann Fort on 2007-01-23.

As of what date was the information pertaining to Jennifer Ann Fort, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jennifer Ann Fort, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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