Doctor Name: | JENNIFER CAREY |
NPI Number: | 1164851754 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MH 13956 |
Business Practice Address: | 11 Mlk Jr St South St. Petersburg, FL - 33705 |
Business Phone Number: | 9783802959 |
Business Fax Number: | |
Mailing Address: | 95 Orne St, SALEM |
State: | MA |
Postal Code: | 019702642 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/05/2013 |
NPI Last Update Date: | 02/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH 13956 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |