Provider Demographics
NPI:1437664521
Name:ARONSON, JENIFER JOY (MHA)
Entity Type:Individual
Prefix:
First Name:JENIFER
Middle Name:JOY
Last Name:ARONSON
Suffix:
Gender:F
Credentials:MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IN
Mailing Address - Zip Code:46952-3667
Mailing Address - Country:US
Mailing Address - Phone:765-891-1641
Mailing Address - Fax:
Practice Address - Street 1:1122 W 3RD ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46952-3667
Practice Address - Country:US
Practice Address - Phone:765-891-1641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-11
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88000499A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health