MEDICARE: JENI SENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	MH25082	FL
2	101YP2500X	Professional Counselor	MH25082	FL
3	101Y00000X	Counselor	MH25082	FL
4	101YS0200X	School Counselor	1129814	FL
5	101YM0800X	Mental Health Counselor	MH25082	FL

General Provider Information

NPI Number	:	1538854542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENI SENTER

Provider Business Mailing Address
First Line	:	6488 TRACKER DR
Second Line	:
City	:	MILTON
State	:	FL
Zip	:	32583-7014
Country	:	US
Telephone Number	:	850-220-3804
Fax Number	:

Provider Business Practice Location Address
First Line	:	5154 SANTA ROSA ST
Second Line	:
City	:	MILTON
State	:	FL
Zip	:	32570-5917
Country	:	US
Telephone Number	:	850-776-8378
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2023
Last Update Date	:	02/27/2025

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Directions to “ JENI SENTER ” Practice Location

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