Provider Demographics
NPI:1326378928
Name:CARNEY, JENNIFER AMY
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:AMY
Last Name:CARNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:AMY
Other - Last Name:CARAWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3572 OLD CLARKSVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:JOELTON
Mailing Address - State:TN
Mailing Address - Zip Code:37080-8814
Mailing Address - Country:US
Mailing Address - Phone:615-943-0019
Mailing Address - Fax:
Practice Address - Street 1:162 COUNTY SERVICES RD
Practice Address - Street 2:SUITE 100
Practice Address - City:ASHLAND CITY
Practice Address - State:TN
Practice Address - Zip Code:37015-1748
Practice Address - Country:US
Practice Address - Phone:615-463-6168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-04
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool