BERTHELOT JEAN JACQUES

FORT PIERCE, FL
NPI1457763609
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2014-05-22
Last Update Date2019-05-17
Business Address
BERTHELOT JEAN JACQUES
4500 W MIDWAY RD
FORT PIERCE, FL 34981-4823
Phone number: 772-567-5550
Mailing Address
BERTHELOT JEAN JACQUES
4500 W MIDWAY RD
FORT PIERCE, FL 34981-4823
Phone number: 772-567-5550