Individual
MRS. JESSICA RUTH ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1751 DAYLILY DR, TRINITY, FL 34655-4924
(727) 947-0778
Mailing address
1751 DAYLILY DR, TRINITY, FL 34655-4924
(727) 947-0778
(719) 325-8978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13185
CO
106H00000X
Marriage & Family Therapist
4673-R
NV
106H00000X
Marriage & Family Therapist
4860
FL
106H00000X
Marriage & Family Therapist
Primary
MFT.0001348
CO
Other
Enumeration date
12/29/2011
Last updated
06/11/2024
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