Individual
JENNIFER BIANCA TOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
17429 NEW CROSS CIR, LITHIA, FL 33547
(813) 538-5201
Mailing address
17429 NEW CROSS CIR, LITHIA, FL 33547-4916
(181) 353-8520
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
00108805
VA
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
4235090
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/27/2018
Last updated
06/11/2019
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