Provider Demographics
NPI:1619475282
Name:JENETT, JUDI ANNE (LMHC)
Entity Type:Individual
Prefix:
First Name:JUDI
Middle Name:ANNE
Last Name:JENETT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 N FLAGLER DR APT 406
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-5224
Mailing Address - Country:US
Mailing Address - Phone:561-832-3026
Mailing Address - Fax:
Practice Address - Street 1:2055 MILITARY TRL STE 306
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7816
Practice Address - Country:US
Practice Address - Phone:561-670-6420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health