Individual
LISA A JENNAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2477 STICKNEY POINT RD, SUITE 115-B, SARASOTA, FL 34231-4076
(941) 780-1569
(941) 927-0236
Mailing address
2477 STICKNEY POINT RD, SUITE 115-B, SARASOTA, FL 34231-4076
(941) 780-1569
(941) 927-0236
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1576
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3547007
AETNA PN
FL
01
—
Z7820
BLUE CROSS BLUE SHIELD PN
FL
Enumeration date
10/03/2006
Last updated
02/19/2024
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