Individual
JAMAL TENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1821 KNOX AVE, SANFORD, FL 32771-3711
(407) 708-8777
Mailing address
1821 KNOX AVE, SANFORD, FL 32771-3711
(407) 708-8777
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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