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Contact Information

JESSICA C URENA
259 E. OAKDALE AVE
CRESTVIEW, FL32539
 Phone: 850-682-1234
 Fax: 850-689-8799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for JESSICA C URENA · (Female)

NPI Number 1336498443
Status Active
Credentials
Entity Individual
Enumeration date 09/05/2012
Last updated 11/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # MH13856
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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