Provider Demographics
NPI:1073884748
Name:FEHR, JENNIFER K (MSW, MPA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:K
Last Name:FEHR
Suffix:
Gender:F
Credentials:MSW, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 3RD AVE N
Mailing Address - Street 2:UNIT 429
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-3350
Mailing Address - Country:US
Mailing Address - Phone:850-445-9937
Mailing Address - Fax:
Practice Address - Street 1:235 3RD AVE N
Practice Address - Street 2:UNIT 429
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3350
Practice Address - Country:US
Practice Address - Phone:850-445-9937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-26
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health