Jackie Paige Stevens LMHC

NPI 1316159668 - Counselor - 101YM0800X

NPI Details
NPI 1316159668
Gender Female
Enumeration Date 05/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
FT LAUDERDALE FL, 33309-7104, US
Phone (954) 472-3881
Business Location
15398 SW 33RD ST
DAVIE FL, 33331-2706, US
Phone (954) 472-3881
Taxonomy Code 101YM0800X
License State Florida
License Number MH5390
Remove 1316159668 NPI Number

According to our database, Mrs. Jackie Paige Stevens LMHC NPI is 1316159668, taxonomy code is 101YM0800X and license number is MH5390, license state is located at Florida. Jackie Paige Stevens LMHC physically located at 1900 W Commercial Blvd, Ft Lauderdale FL, 33309-7104. NPI Number Jackie Paige Stevens LMHC has the Individual type.

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1316159668 NPI number is provided on an as is basis without warranty of any kind. 1316159668 is maintained by the National Plan & Provider Enumeration System. The contents of Jackie Paige Stevens LMHC are for informational purposes only.