JENNIFER HUMMER KEOVONGSA

BRANDON, FL
NPI1487060042
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH12437)
Enumeration Date2014-07-03
Last Update Date2014-07-03
Business Address
-- JENNIFER HUMMER KEOVONGSA L.M.H.C.
509 WILBUR ST
BRANDON, FL 33511-5323
Phone number: 813-727-6658
Mailing Address
-- JENNIFER HUMMER KEOVONGSA L.M.H.C.
509 WILBUR ST
BRANDON, FL 33511-5323
Phone number: 813-727-6658