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Jillian Lacy Renz
Mental Health Counselor in Hollywood, Florida
NPI 1598526907

Jillian Lacy Renz is a Mental Health Counselor based in Hollywood, FL and is specialized in Mental Health. Jillian Lacy Renz practices in Hollywood, FL. The NPI Number for Jillian Lacy Renz is 1598526907 and holds a License No. MH23189 (Florida).

The current practice location address for Jillian Lacy Renz is 2704 Bruce Ter, Hollywood, FL and can be reached out via phone at 954-815-6480.

Location: 2704 Bruce Ter, Hollywood, FL, 33020-1817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598526907
Provider Name
Jillian Lacy Renz
Credential
Provider Entity Type
Individual
Gender
Female
Address
2704 Bruce Ter, Hollywood, FL, 33020-1817
Phone Number
954-815-6480
Fax Number
Provider Enumeration Date
01/22/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2704 Bruce Ter
City
Hollywood
State
Florida
Zip
33020-1817
Phone Number
954-815-6480
Fax Number
person
Provider Business Mailing Address Details
Address
2704 Bruce Ter
City
Hollywood
State
Florida
Zip
33020-1817
Phone Number
954-815-6480
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH23189 (Florida)
Definition
Definition to come...
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