Provider Information for 1952965352
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JENNIFER HUMPHREY LMHC
Sex: Female
NPI: 1952965352
Last Updated: 2019-05-01
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1952965352 | ||||||||
| Enumeration Date | 2019-05-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1940 HARRISON AVE PANAMA CITY, FL 32405-4542 United States Phone: 850-763-0017 | Fax:850-692-5862 | ||||||||
| Primary Practice Address | 1940 HARRISON AVE PANAMA CITY, FL 32405-4542 United States Phone: 850-763-0017 | Fax:850-692-5862 | ||||||||
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