Individual
JENNELL ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
208 CITRUS DR, KISSIMMEE, FL 34743-5907
(407) 473-2040
Mailing address
208 CITRUS DR, KISSIMMEE, FL 34743-5907
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
FL
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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