Provider Demographics
NPI:1124349451
Name:PRITCHETT, JENNIFER L (LMHC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:PRITCHETT
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 1:723 SEMINOLE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:FL
Mailing Address - Zip Code:32666-3916
Mailing Address - Country:US
Mailing Address - Phone:352-475-1255
Mailing Address - Fax:
Practice Address - Street 1:3292 COUNTY ROAD 220
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-4357
Practice Address - Country:US
Practice Address - Phone:904-616-6791
Practice Address - Fax:904-291-5575
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health