| Jennifer Austin Lmsw Mdiv Llc | |
|
1611 W Centre Ave Portage MI 49024-5344 | |
| (269) 330-5755 | |
| Not Available |
| Full Name | Jennifer Austin Lmsw Mdiv Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1611 W Centre Ave, Portage, Michigan |
| Authorized Official Name and Position | Jennifer Lynn Austin (CLINICAL SOCIAL WORKER/THERAPIST) |
| Authorized Official Contact | 2694789529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Austin Lmsw Mdiv Llc 1411 W Centre Ave Suite 204 Portage MI 49024 Ph: (269) 578-9529 | Jennifer Austin Lmsw Mdiv Llc 1611 W Centre Ave Portage MI 49024-5344 Ph: (269) 330-5755 |
| NPI Number | 1679404560 |
|---|---|
| Provider Enumeration Date | 05/28/2026 |
| Last Update Date | 07/10/2026 |
| Certification Date | 07/10/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679404560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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