Jennifer De La Rosa | Fort Pierce, FL • PECOS Search

Jennifer De La Rosa

Counselor

Behavioral Health & Social Service Providers

2814 S Us Highway 1, D4, Fort Pierce, FL 34982-8120

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer De La Rosa does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1104297464
Provider Type
Individual
Full Name
De La Rosa, Jennifer
Credential
MA

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/13/2015
Last Updated
10/13/2015

Contact Information

Practice Location

2814 S Us Highway 1, D4, Fort Pierce, FL 34982-8120

Unlisted Fax

Mailing Location

2814 S Us Highway 1, D4, Fort Pierce, FL 34982-8120

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer