Individual
TERESA JACQUEMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2963 GULF TO BAY BLVD STE 320, CLEARWATER, FL 33759-4286
(727) 241-8800
Mailing address
2963 GULF TO BAY BLVD STE 320, CLEARWATER, FL 33759-4286
(727) 241-8808
(727) 241-8800
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
PMT306
FL
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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