Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | ||
N | 101YM0800X | Mental Health Counselor | MH 13956 | FL |
N | 101YS0200X | School Counselor | 467410 | MA |
NPI | 1164851754 |
---|---|
Provider Name | Jennifer Carey |
First Address | Salem, MA 01970-2642 |
Second Address | St. Petersburg, FL 33705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2013 |
Last Update Date | 15/02/2016 |