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Ms. Jill Leslie Fischberg, LMHC
Professional Counselor in Bradenton, Florida
NPI 1104882679

Jill Leslie Fischberg is a Professional Counselor based in Bradenton, FL and is specialized in Professional. Jill Leslie Fischberg practices in Bradenton, FL and has the professional credentials of LMHC. The NPI Number for Jill Leslie Fischberg is 1104882679 and holds a License No. MH 10788 (Florida).

The current practice location address for Jill Leslie Fischberg is 6170 53Rd Ave E, Bradenton, FL and can be reached out via phone at 941-468-4567 and via fax at 941-621-6226. You can also correspond with Jill Leslie Fischberg through the mailing address at 6170 53RD AVE E, BRADENTON, FL - 34203-9721 (mailing address contact number: 941-468-4567).

Location: 6170 53Rd Ave E, Bradenton, FL, 34203-9721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104882679
Provider Name
Jill Leslie Fischberg
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
6170 53Rd Ave E, Bradenton, FL, 34203-9721
Phone Number
941-468-4567
Fax Number
941-621-6226
Provider Enumeration Date
04/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003784400 05 FL
institution
Provider Business Practice Location Address Details
Address
6170 53Rd Ave E
City
Bradenton
State
Florida
Zip
34203-9721
Phone Number
941-468-4567
Fax Number
941-621-6226
person
Provider Business Mailing Address Details
Address
6170 53Rd Ave E
City
Bradenton
State
Florida
Zip
34203-9721
Phone Number
941-468-4567
Fax Number
941-621-6226
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
MH 10788 (Florida)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
MH 10788 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH 10788 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
MH 10788 (Florida)
Definition
Definition to come...
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