Organization
BJL2, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN MARIE LICHTENTHAL (MANAGER)
(352) 697-5943
Entity
Organization
Contact information
Practice address
1910 W PICKETT CT, HERNANDO, FL 34442-3244
(352) 697-5942
Mailing address
1910 W PICKETT CT, HERNANDO, FL 34442-3244
(352) 697-5942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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