| Jeanette Provenza I, | |
|
1515 Michelin Ct, Lutz, FL 33549-7533 | |
| (813) 949-3904 | |
| Not Available |
| Full Name | Jeanette Provenza I |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1515 Michelin Ct, Lutz, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710334008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanette Provenza I, 2006 Fishermens Bnd, Palm Harbor, FL 34685-2355 Ph: (727) 415-3260 | Jeanette Provenza I, 1515 Michelin Ct, Lutz, FL 33549-7533 Ph: (813) 949-3904 |
Brianna Michelle Garcia, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 24758 State Road 54 Unit 101, Lutz, FL 33559 Phone: 401-237-0788 | |
Laura Pizzurro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4125 Apple Blossom Rd, Lutz, FL 33558 Phone: 561-558-3611 | |
Tennazha Bradley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17665 Bellavista Loop # 1209, Lutz, FL 33558 Phone: 347-360-2072 | |
Ms. Sushama U. Kirtikar, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 16120 N Florida Ave, Lutz, FL 33549 Phone: 813-264-7114 Fax: 813-961-1388 | |
Kimberly Macgregor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 Michelin Ct, Lutz, FL 33549 Phone: 813-949-3904 | |
Mrs. Amber Lynn Lavoie, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2334 Brenthaven Crossing Ct, Lutz, FL 33558 Phone: 401-339-9968 | |
April Veronica Campbell, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 Michelin Ct, Lutz, FL 33549 Phone: 813-949-8946 |