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Organization
JESSICA L VERA PHD LLC
Active
Organization
JESSICA L VERA PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA VERA PHD (PRESIDENT)
(954) 665-0319
Entity
Organization
Contact information
Practice address
1451 W CYPRESS CREEK RD STE 300, FT LAUDERDALE, FL 33309-1953
(954) 665-0319
Mailing address
9832 GRAND VERDE WAY APT 203, BOCA RATON, FL 33428-3519
(954) 665-0319
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/07/2018
Last updated
11/28/2023
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