Individual
MS. JESSE ROBERTA SMITH WEISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 560473, ROCKLEDGE, FL 32956-0473
(678) 622-6844
Mailing address
PO BOX 560473, ROCKLEDGE, FL 32956-0473
(678) 622-6844
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701005544
VA
101YP2500X
Professional Counselor
Primary
MH20047
FL
Other
Enumeration date
03/20/2013
Last updated
07/09/2024
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