Individual
MS. JENNIFER TROTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
100 E SYBELIA AVE, SUITE 380, MAITLAND, FL 32751-4763
(407) 353-1484
Mailing address
102 WHITECAPS CIR, MAITLAND, FL 32751-5852
(407) 353-1484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH10052
FL
106H00000X
Marriage & Family Therapist
Primary
MT2444
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12093435
CAQH
FL
Enumeration date
08/08/2010
Last updated
12/03/2016
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