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Jenesis Vasquez
Mental Health Counselor in Fort Myers, Florida
NPI 1023894649

Jenesis Vasquez is a Mental Health Counselor based in Fort Myers, FL and is specialized in Mental Health. Jenesis Vasquez practices in Fort Myers, FL. The NPI Number for Jenesis Vasquez is 1023894649 and holds a License No. IMH22633 (Florida).

The current practice location address for Jenesis Vasquez is 12553 New Brittany Blvd Ste 3217, Fort Myers, FL and can be reached out via phone at 347-360-3472.

Location: 12553 New Brittany Blvd Ste 3217, Fort Myers, FL, 33907-3625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023894649
Provider Name
Jenesis Vasquez
Credential
Provider Entity Type
Individual
Gender
Female
Address
12553 New Brittany Blvd Ste 3217, Fort Myers, FL, 33907-3625
Phone Number
347-360-3472
Fax Number
Provider Enumeration Date
09/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12553 New Brittany Blvd Ste 3217
City
Fort Myers
State
Florida
Zip
33907-3625
Phone Number
347-360-3472
Fax Number
person
Provider Business Mailing Address Details
Address
12553 New Brittany Blvd Ste 3217
City
Fort Myers
State
Florida
Zip
33907-3625
Phone Number
347-360-3472
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMH22633 (Florida)
Definition
Definition to come...
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