Jessica Holesko, MS, LMFT | |
1102 A1a N Ste 203, Ponte Vedra, FL 32082-4098 | |
(904) 569-6875 | |
(904) 833-3373 |
Full Name | Jessica Holesko |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1102 A1a N Ste 203, Ponte Vedra, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447988472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MT4694 (Florida) | Primary |
Entity Name | Shukrana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053018143 PECOS PAC ID: 7618335159 Enrollment ID: O20230615001821 |
Entity Name | Rivers Of Hope Counseling Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922607977 PECOS PAC ID: 1254706567 Enrollment ID: O20240117003594 |
Mailing Address | Practice Location Address |
---|---|
Jessica Holesko, MS, LMFT 29 Arbor Club Dr Unit 103, Ponte Vedra Beach, FL 32082-2606 Ph: (904) 514-9621 | Jessica Holesko, MS, LMFT 1102 A1a N Ste 203, Ponte Vedra, FL 32082-4098 Ph: (904) 569-6875 |
William Keith Galer, MS, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1102 A1a N Ste 203, Ponte Vedra, FL 32082 Phone: 904-569-6875 Fax: 904-833-3373 | |
Kristi Pelletier Vega, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 460 Town Plaza Ave Ste 230, Ponte Vedra, FL 32081 Phone: 904-834-9292 | |
Theresa Antima Bauer, MS, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1102 A1a N Ste 203, Ponte Vedra, FL 32082 Phone: 904-569-6875 Fax: 904-833-3373 |