Individual
JISSELL ATHABEIRA VENTURA
Active
Individual
JISSELL ATHABEIRA VENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
101YS0200X
School Counselor
—
—
222Q00000X
Developmental Therapist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
01/20/2022
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