Provider Demographics
NPI:1528697422
Name:GATTO, JENNA (LMFT)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:GATTO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:
Other - Last Name:GATTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:325 S BISCAYNE BLVD APT 3815
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2479
Mailing Address - Country:US
Mailing Address - Phone:732-236-9178
Mailing Address - Fax:
Practice Address - Street 1:325 S BISCAYNE BLVD APT 3815
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2479
Practice Address - Country:US
Practice Address - Phone:732-236-9178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3806106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist