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JENI ALLISSUN GROOT-BEGNAUD

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1932755337

Individual Registrant:
 JENI ALLISSUN GROOT-BEGNAUD 
Gender: F
Sole Proprietor

Location and contact information for practice:
3047 S ATLANTIC AVE APT 2005  DAYTONA BEACH SHORES, FL 32118-6144 US
Tel: 912-230-6345  Fax: --

Contact information for business:
3047 S ATLANTIC AVE APT 2005  DAYTONA BEACH SHORES, FL 32118-6144 US
Tel: 912-230-6345  Fax: --

Registration Information:
NPI: 1932755337
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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