Jennifer Gillenwater, LMSWT, LAC

NPI #1134983182 in Emporia, Kansas

Provider Information

NPI Number: 1134983182
Entity Type: Individual
Name: Jennifer Gillenwater, LMSWT, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSWT, LAC
Enumeration Date: Feb 9, 2024
Last Updated: Feb 9, 2024

Practice Location

Address: 128 S CONSTITUTION ST
City: Emporia
State: Kansas
ZIP Code: 66801-4621
Phone: (620) 366-9444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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