Individual
JESSICA MANTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., C.N.S., L.D.N
Contact information
Practice address
1300 BRICKELL BAY DR APT 1204, MIAMI, FL 33131-3385
(610) 812-3543
Mailing address
1300 BRICKELL BAY DR APT 1204, MIAMI, FL 33131-3385
(610) 812-3543
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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