Individual
JESSICA FORTUNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1928 PROCTOR AVE, UNION PARK, FL 32817-4200
(321) 345-8970
Mailing address
1928 PROCTOR AVE, UNION PARK, FL 32817-4200
(321) 345-8970
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3789
FL
Other
Enumeration date
04/13/2018
Last updated
05/10/2023
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