Individual provider · Type 1 NPI

Jennifer De la Rosa, MA

Mental Health Counselor · Fort Pierce, FL

NPI number 1104297464 Active

Practice location

2814 S US Highway 1, D4
Fort Pierce, FL 34982-8120

Call (772) 489-4726 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104297464

Jennifer De la Rosa, MA's National Provider Identifier is 1104297464, issued on Oct 13, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Pierce, FL. The record was last updated on Oct 13, 2015.