Individual
JENNIFER PRIMAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1259 S MYRTLE AVE UNIT 5, CLEARWATER, FL 33756-3470
(727) 415-6081
Mailing address
1259 S MYRTLE AVE UNIT 5, CLEARWATER, FL 33756-3470
(727) 415-6081
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
07/17/2019
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