Mrs Jennifer Ann Fort, LPC, LMFT is a
Marriage & Family Therapist based in Victoria, Texas. Mrs Jennifer Ann Fort is licensed to practice in Texas (license number 5124) and her current practice location is
608 Newhaven St, Victoria, Texas. She can be reached at her office (for appointments etc.) via phone at
(361) 575-2796.
NPI number for Mrs Jennifer Ann Fort is 1770637704 and her current mailing address is 608 Newhaven St, Victoria, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770637704.
Healthcare Provider's Profile
Full Name | Mrs Jennifer Ann Fort |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 608 Newhaven St, Victoria, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770637704
- Provider Enumeration Date: 01/23/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mrs Jennifer Ann Fort such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770637704 | NPI | - | NPPES |
6642LC | Other | TX | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 19184 (Texas) | Primary |
106H00000X | Marriage & Family Therapist | 5124 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Ann Fort is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jennifer Ann Fort, LPC, LMFT 608 Newhaven St, Victoria, TX 77904-2558 Ph: (361) 575-2796 | Mrs Jennifer Ann Fort, LPC, LMFT 608 Newhaven St, Victoria, TX 77904-2558 Ph: (361) 575-2796 |
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