Individual
JESSICA ROSE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12204 BASS OAK CT, RIVERVIEW, FL 33569-4738
(541) 633-0369
Mailing address
12204 BASS OAK CT, RIVERVIEW, FL 33569-4738
(541) 633-0369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
10673
CA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
04/09/2020
Last updated
03/26/2025
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