Provider Demographics
NPI:1447406467
Name:FERRER, JENNIFER ROY (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ROY
Last Name:FERRER
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 KINGSLEY AVE
Mailing Address - Street 2:SUITE 406
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-4560
Mailing Address - Country:US
Mailing Address - Phone:904-269-1793
Mailing Address - Fax:
Practice Address - Street 1:1555 KINGSLEY AVE
Practice Address - Street 2:SUITE 406
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-4560
Practice Address - Country:US
Practice Address - Phone:904-269-1793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-10
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 9526101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health