Individual
MS. JENNIFER RENEE MILLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
6425 39TH AVE W, BRADENTON, FL 34209-7626
(941) 909-4508
Mailing address
6425 39TH AVE W, BRADENTON, FL 34209-7626
(941) 909-4508
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LT4556
FL
102L00000X
Psychoanalyst
LT4556
FL
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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