Individual
JENELLA JENESE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCAP, RMHCI
Contact information
Practice address
540 NW UNIVERSITY BLVD STE 204, PORT ST LUCIE, FL 34986-2281
(772) 494-7770
(772) 258-4480
Mailing address
PO BOX 572, PORT RICHEY, FL 34673-0572
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MCAP.0101162
FL
101YM0800X
Mental Health Counselor
IMH26964
FL
101YP2500X
Professional Counselor
MCAP.0101162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IMH26964
REGISTERED MENTAL HEALTH COUNSELOR INTERN
FL
01
—
MCAP.0101162
CERTIFIED MASTER'S LEVEL ADDICTION PROFESSIONAL
FL
Enumeration date
02/14/2023
Last updated
07/24/2025
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