Organization
JEN ESTAPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE ESTAPE LMHC (THERAPIST)
(786) 586-3788
Entity
Organization
Contact information
Practice address
10300 SUNSET DR, MIAMI, FL 33173-3012
(786) 586-3788
Mailing address
10300 SUNSET DR, MIAMI, FL 33173-3012
(786) 586-3788
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH12972
FL
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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