| Jessica Holesko, MS, LMFT | |
|
1102 A1a N Ste 203, Ponte Vedra, FL 32082-4098 | |
| (904) 569-6875 | |
| (904) 833-3373 |
| Full Name | Jessica Holesko |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1102 A1a N Ste 203, Ponte Vedra, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447988472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT4694 (Florida) | Primary |
| Entity Name | Shukrana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053018143 PECOS PAC ID: 7618335159 Enrollment ID: O20230615001821 |
| Entity Name | Rivers Of Hope Counseling Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922607977 PECOS PAC ID: 1254706567 Enrollment ID: O20240117003594 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Holesko, MS, LMFT 29 Arbor Club Dr Unit 103, Ponte Vedra Beach, FL 32082-2606 Ph: (904) 514-9621 | Jessica Holesko, MS, LMFT 1102 A1a N Ste 203, Ponte Vedra, FL 32082-4098 Ph: (904) 569-6875 |
William Keith Galer, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1102 A1a N Ste 203, Ponte Vedra, FL 32082 Phone: 904-569-6875 Fax: 904-833-3373 | |
Kristi Pelletier Vega, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 460 Town Plaza Ave Ste 230, Ponte Vedra, FL 32081 Phone: 904-834-9292 |