person
Jennifer Matilla
Professional Counselor in Tampa, Florida
NPI 1821462755

Jennifer Matilla is a Professional Counselor based in Miami, FL and is specialized in Professional. Jennifer Matilla practices in Tampa, FL. The NPI Number for Jennifer Matilla is 1821462755 and holds a License No. MH 13534 (Florida).

The current practice location address for Jennifer Matilla is 6507 Gunn Hwy, Tampa, FL and can be reached out via phone at 813-374-2070 and via fax at 813-489-4347.

Location: 6507 Gunn Hwy, Tampa, FL, 33156
person
Provider Profile Details
NPI Number
1821462755
Provider Name
Jennifer Matilla
Credential
Provider Entity Type
Individual
Gender
Female
Address
6507 Gunn Hwy, Tampa, FL, 33156
Phone Number
813-374-2070
Fax Number
813-489-4347
Provider Enumeration Date
11/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6507 Gunn Hwy
City
State
Zip
33625-4021
Phone Number
813-374-2070
Fax Number
813-489-4347
person
Provider Business Mailing Address Details
Address
6507 Gunn Hwy
City
State
Zip
33625-4021
Phone Number
813-374-2070
Fax Number
813-489-4347
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC37PC0024280 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
MH 13534 (Florida)
Definition
Definition to come...
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