Jennifer Hummer Keovongsa | Brandon, FL • PECOS Search

Jennifer Hummer Keovongsa

Counselor

Behavioral Health & Social Service Providers

509 Wilbur St, Brandon, FL 33511-5323

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Hummer Keovongsa 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 11:06 AM.

Profile Details

Provider ID
1487060042
Provider Type
Individual
Full Name
Keovongsa, Jennifer Hummer
Credential
L.M.H.C.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/3/2014
Last Updated
7/3/2014

Contact Information

Practice Location

509 Wilbur St, Brandon, FL 33511-5323

Unlisted Fax

Mailing Location

509 Wilbur St, Brandon, FL 33511-5323

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MH12437 Florida