Individual
JESSICA GONSALVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5707-N 22ND STREET, MENTAL HEALTHCARE, INC. DBA GRACEPOINT, TAMPA, FL 33610-4350
(813) 239-8069
Mailing address
5707-N 22ND STREET, MENTAL HEALTHCARE, INC. DBA GRACEPOINT, TAMPA, FL 33610-4350
(813) 239-8069
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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