Individual
JISSENIA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
14008 SAULK CT APT 137, TAMPA, FL 33613-3943
(813) 420-2682
Mailing address
14008 SAULK CT APT 137, TAMPA, FL 33613-3943
(813) 420-2682
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3796
PR
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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