Provider Demographics
NPI:1740545276
Name:WINTERS, JENNIFER LEIGH (CAP, ADC, LMHC INTER)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:LEIGH
Last Name:WINTERS
Suffix:
Gender:F
Credentials:CAP, ADC, LMHC INTER
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:10000 BAY PINES BLVD
Mailing Address - Street 2:BAY PINES VETERANS HOSPITAL
Mailing Address - City:BAY PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33744
Mailing Address - Country:US
Mailing Address - Phone:727-398-6661
Mailing Address - Fax:727-398-9509
Practice Address - Street 1:10000 BAY PINES BLVD
Practice Address - Street 2:BAY PINES VETERANS HOSPITAL
Practice Address - City:BAY PINES
Practice Address - State:FL
Practice Address - Zip Code:33744
Practice Address - Country:US
Practice Address - Phone:727-398-6661
Practice Address - Fax:727-398-9509
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL4567 (CAP)101YA0400X
FL121614 (ADC)101YA0400X
FLIMH-6507101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)