| Doctor Name: | JENNIFYR HAMMONTREE |
| NPI Number: | 1003294364 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MAAT |
| License Number: | 1041C0700X |
| Business Practice Address: | 1100 Se Federal Hwy Stuart, FL - 349943823 |
| Business Phone Number: | 7723200770 |
| Business Fax Number: | |
| Mailing Address: | 3617 Sw Parsons St, PORT SAINT LUCIE |
| State: | FL |
| Postal Code: | 349535028 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/07/2015 |
| NPI Last Update Date: | 05/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1041C0700X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |