Most Relevant Information
Provider Data
| NPI Number: | 1003532813 |
| Provider Name: | JENNIFER WEBSTER LICENSE MENTAL HEALT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MH19219 |
Most Important Dates
| Enumeration Date: | 10/13/2022 |
| Last Updated: | 10/18/2022 |
Provider Practice Location
2200 N. COMMERCE PARKWAY STE 200
WESTON
FL
33326
Practice Location Phone/Fax
| Phone: | 9545292000 |
| Fax: | 9545292001 |
Provider Mailing Location
2200 N. COMMERCE PARKWAY STE 200
WESTON
FL
33326
Provider Mailing Phone/Fax
| Phone: | 9545292000 |
| Fax: | 9545292001 |