Provider Information for 1801027941
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Ms. JENNIFER A BARAJAS MS, LPC
Other Names:Former Name:JENNIFER A BENKERT MS, LLPCSex: Female
NPI: 1801027941
Last Updated: 2023-06-27
Certification Date: 2023-06-27
Certification Date: 2023-06-27
Details
| Name | Value | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1801027941 | ||||||||||||||||||||
| Enumeration Date | 2009-08-06 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 1939 S DIVISION AVE GRAND RAPIDS, MI 49507 United States Phone: 616-247-3815 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 1031 COURTNEY ST NW GRAND RAPIDS, MI 49504-3052 United States Phone: 616-209-8343 | Fax:616-732-6391 | ||||||||||||||||||||
| Secondary Practice Address(es) | 15146 16TH AVE | ||||||||||||||||||||
| Health Information Exchange |
| ||||||||||||||||||||
| Other Identifiers |
| ||||||||||||||||||||
| Taxonomy |
|