Sousa, Jennifer

Sousa, Jennifer is an sole proprietor health care provider with primary practice located at 30 Rolling Sands Drive , Palm Coast FL 32164. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Sousa, Jennifer can be contacted via phone (508) 971-0147.

Contact Information

Primary practice address
30 Rolling Sands Drive Palm Coast FL 32164
Phone: (508) 971-0147
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 729 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X PMT175 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 83546 California

Profile Details

NPI number 1093175879
LBN Legal business name Sousa, Jennifer
Credentials PMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2016
Last updated Apr 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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