Individual
JENNY T. VENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
398268
MA
305R00000X
Preferred Provider Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
811014109
MIND AND BODY BEHAVIORAL HEALTH CENTER, LLC
MA
Enumeration date
03/26/2008
Last updated
04/13/2025
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