Jissell Athabeira Ventura

NPI #1730752528 in Eustis, Florida

Provider Information

NPI Number: 1730752528
Entity Type: Individual
Name: Jissell Athabeira Ventura
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Early Intervention Provider Agency
Enumeration Date: Jul 20, 2021
Last Updated: Jan 20, 2022

Practice Location

Address: 6 N EUSTIS ST
City: Eustis
State: Florida
ZIP Code: 32726-3408
Phone: (321) 276-5054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Pastoral — Pastoral	101YP1600X
Counselor - School — School	101YS0200X
Developmental Therapist	222Q00000X
Early Intervention Provider Agency	252Y00000X	Primary

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