Female

Jennifer Sousa PMT

Marriage & Family Therapist in Palm Coast, FL(View on Map)

Full Name

Jennifer Sousa PMT

NPI Number

1093175879

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/07/2016

Specialties

(Taxonomies)

Code

106H00000X
101YP2500X

Primary Taxonomy

Yes
No

Licenses

State

California
California
Florida

License Number

83546
729
PMT175

Contact
Information

Purpose

Mailing
Location

Address

355 FAY WAY
30 ROLLING SANDS DRIVE

City

Mountain View
Palm Coast

State

CA
FL

Postal Code

94043-2803
32164

Country

US
US

Telephone Number

(508) 971-0147
(508) 971-0147

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/17/2018

Provider Address

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