Individual
MS. JENNILEE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
445 W AMELIA ST, ORLANDO, FL 32801-1129
(407) 317-3200
Mailing address
445 W AMELIA ST, ORLANDO, FL 32801-1129
(407) 317-3200
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
04/11/2022
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