Individual
JENNA PETRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
829 W DR MARTIN LUTHER KING JR BLVD # 236, TAMPA, FL 33603-3309
(813) 758-8902
Mailing address
829 W DR MARTIN LUTHER KING JR BLVD # 236, TAMPA, FL 33603-3309
(813) 758-8902
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MT5009
FL
106H00000X
Marriage & Family Therapist
Primary
MT5009
FL
Other
Enumeration date
08/19/2024
Last updated
03/10/2025
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