Most Relevant Information
Provider Data
NPI Number: | 1003291030 |
Provider Name: | JENNIFER LOVELL MA |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 07/20/2015 |
Last Updated: | 08/10/2022 |
Provider Practice Location
3345 DELANEY DR APT 101
MELBOURNE
FL
329347503
Practice Location Phone/Fax
Phone: | 3215571888 |
Fax: |
Provider Mailing Location
3345 DELANEY DR APT 101
MELBOURNE
FL
329347503
Provider Mailing Phone/Fax
Phone: | 3215571888 |
Fax: |