Individual
JENNIFER MARICELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHP,RMA
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
53373505
TX
225400000X
Rehabilitation Practitioner
53373505
TX
251S00000X
Community/Behavioral Health Agency
53373505
TX
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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