Individual
JENNIFER CORTES CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 E VINE ST, KISSIMMEE, FL 34744-3733
(407) 847-4152
Mailing address
3406 SOHO ST APT 208, ORLANDO, FL 32835-7574
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
11/22/2023
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