| Doctor Name: | DR. JENNIFER E GIAMBRONE |
| NPI Number: | 1740620913 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D., LCMHT |
| License Number: | 1002 |
| Business Practice Address: | 3550 Highway, 468 West Fiscal Services Whitfield, MS - 391930157 |
| Business Phone Number: | 6013518000 |
| Business Fax Number: | |
| Mailing Address: | P.o. Box 1 - Fiscal Services, 3550 Highway, 468 West WHITFIELD |
| State: | MS |
| Postal Code: | 391930157 |
| Phone Number: | 6013518000 |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2013 |
| NPI Last Update Date: | 01/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1002 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |