Individual
JENNIFER KEROUAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18448 CORTES CREEK BLVD, SPRING HILL, FL 34610-0120
(815) 278-8996
Mailing address
4803 SEABERG RD, ZEPHYRHILLS, FL 33541-2862
(815) 278-8996
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316628886
NPI
FL
Enumeration date
08/18/2023
Last updated
08/18/2023
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