Individual
JENNIFER CECELIA PEMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3574 US 1 S, SAINT AUGUSTINE, FL 32086-6466
(904) 217-7161
Mailing address
30 RICHLAND LN, PALM COAST, FL 32164-6537
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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