Jennifer Fawn Locklear MHC

NPI 1316130461 - Counselor - 101YM0800X

NPI Details
NPI 1316130461
Gender Female
Enumeration Date 08/22/2007
Last Updated 04/26/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
116 NE 5TH ST
CRYSTAL RIVER FL, 34429-4150, US
Phone (352) 257-8750
Fax (352) 222-8890
Business Location
CRYSTAL RIVER FL, 34428-5951, US
Phone (352) 257-8750
Fax (352) 228-8901
Taxonomy Code 101YM0800X
License State
License Number
Remove 1316130461 NPI Number

According to our database, Ms. Jennifer Fawn Locklear MHC NPI is 1316130461, taxonomy code is 101YM0800X Jennifer Fawn Locklear MHC physically located at 116 Ne 5th St, Crystal River FL, 34429-4150. NPI Number Jennifer Fawn Locklear MHC has the Individual type.

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1316130461 NPI number is provided on an as is basis without warranty of any kind. 1316130461 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Fawn Locklear MHC are for informational purposes only.