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Organization

DR. JILL, ORG PSYCHOLOGICAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JILL MARION HINEGARDNER PHD, LMHC (OWNER/PSYCHOTHERAPIST)
(813) 708-9977
Entity
Organization

Contact information

Practice address
13021 PRESTWICK DR, RIVERVIEW, FL 33579-7047
(813) 955-1602
Mailing address
13021 PRESTWICK DR, RIVERVIEW, FL 33579-7047
(813) 955-1602

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH9718
FL

Other

Enumeration date
12/07/2017
Last updated
12/07/2017
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