| NPI | 1598417958 |
|---|---|
| Doing Business As | JENISON PSYCHOLOGICAL SERVICES PC |
| Entity Type | Organization |
| Authorized Contact | ELLIOTT RICHELSON President, Treasurer, Secretary 904-605-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-12-30 |