Individual ProviderJennifer Chavarro CastilloCounselorBehavioral Health & Social Service ProvidersPractice Address510 Vonderburg Dr, Suite 301, Brandon, FL 33511-5954(813) 881-1000PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Chavarro Castillo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:06 AM.Profile DetailsProvider ID1053735241Provider TypeIndividualFull NameChavarro Castillo, JenniferTitleMs.CredentialLMHCGenderFemaleSole ProprietorNoEnumeration Date2/10/2014Last Updated2/28/2017Contact InformationPractice LocationPractice Address510 Vonderburg Dr, Suite 301, Brandon, FL 33511-5954Phone(813) 881-1000Fax(813) 881-0003Mailing LocationMailing Address510 Vonderburg Dr., Suite 301, Brandon, FL 33511-6072Phone(813) 881-1000Fax(813) 881-0003Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMH 12557FloridaProvider IdentifiersIDDescriptionIssuerID13798116DescriptionOtherIssuerCAQH