Individual
MRS. JESSICA OHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTRI
Contact information
Practice address
140 PINE AVE N, OLDSMAR, FL 34677-4629
(813) 343-0436
Mailing address
14523 WEEPING ELM DR, TAMPA, FL 33626-3036
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT3693
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2021
Last updated
11/18/2022
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