Provider Demographics
NPI:1922577360
Name:VOBIS, JENNIFER THERESA (MFT-I)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:THERESA
Last Name:VOBIS
Suffix:
Gender:F
Credentials:MFT-I
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:THERESA
Other - Last Name:O'CONNOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2518 ANTHEM VILLAGE DR STE 103
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-5554
Mailing Address - Country:US
Mailing Address - Phone:702-909-0842
Mailing Address - Fax:
Practice Address - Street 1:2518 ANTHEM VILLAGE DR STE 103
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5554
Practice Address - Country:US
Practice Address - Phone:702-909-0842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-15
Last Update Date:2024-11-19
Deactivation Date:2022-01-18
Deactivation Code:
Reactivation Date:2024-11-19
Provider Licenses
StateLicense IDTaxonomies
NVMI4376106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist