# JENELLE CAMPOS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366209421
- **Authorized official:** MS. JENELLE CAMPOS (CEO)
- **Authorized official phone:** (305) 975-4678

## Contact information

- **Practice address:** 725 N HIGHWAY A1A STE A104, JUPITER, FL 33477-4561
- **Practice address phone:** (305) 975-4678
- **Mailing address:** 725 N HIGHWAY A1A STE A104, JUPITER, FL 33477-4561
- **Mailing address phone:** (305) 975-4678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2024
- **Last updated:** 03/04/2024