| Jenica, Inc. | |
|
1209 E 2nd St Sanford FL 32771-1413 | |
| (407) 792-0900 | |
| Not Available |
| Full Name | Jenica, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1209 E 2nd St, Sanford, Florida |
| Authorized Official Name and Position | Jennifer Anne Vestal (OWNER) |
| Authorized Official Contact | 4079239543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenica, Inc. 1209 E 2nd St Sanford FL 32771-1413 Ph: (407) 792-0900 | Jenica, Inc. 1209 E 2nd St Sanford FL 32771-1413 Ph: (407) 792-0900 |
| NPI Number | 1710672191 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 09/06/2023 |
| Certification Date | 04/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710672191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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