| Doctor Name: | MS. JEAN SHIRELY AYRES |
| NPI Number: | 1144438466 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LMHC, LLP, LPC |
| License Number: | LLP6301008490 |
| Business Practice Address: | 9626 Lake Christina Ln Port Richey, FL - 346683927 |
| Business Phone Number: | 7274871816 |
| Business Fax Number: | 7274871816 |
| Mailing Address: | 9626 Lake Christina Ln, PORT RICHEY |
| State: | FL |
| Postal Code: | 346683927 |
| Phone Number: | 7274871816 |
| Fax Number: | 7274871816 |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 02/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LLP6301008490 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |