Individual
JENNIFER CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 S ENTERPRIZE PKWY, CORPUS CHRISTI, TX 78405-4118
(361) 939-6510
Mailing address
1701 ENNIS JOSLIN RD APT 127, CORPUS CHRISTI, TX 78412-4371
(361) 939-6510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MT3167
FL
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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