Provider Demographics
NPI:1770983116
Name:ALBERT, JENNIFER (LMFT)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:ALBERT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7441
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33468-7441
Mailing Address - Country:US
Mailing Address - Phone:954-557-7257
Mailing Address - Fax:
Practice Address - Street 1:1401 FORUM WAY
Practice Address - Street 2:SUITE 730
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-2325
Practice Address - Country:US
Practice Address - Phone:954-557-7257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-03
Last Update Date:2015-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1968106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist