person
Jacqueline Anne Maple, LMHC,MCAP
Mental Health Counselor in Palm Bay, Florida
NPI 1356863823

Jacqueline Anne Maple is a Mental Health Counselor based in Palm Bay, FL and is specialized in Mental Health. Jacqueline Anne Maple practices in Palm Bay, FL and has the professional credentials of LMHC,MCAP. The NPI Number for Jacqueline Anne Maple is 1356863823 and holds a License No. IMH14960 (Florida).

The current practice location address for Jacqueline Anne Maple is 827 Toluca St Se, Palm Bay, FL and can be reached out via phone at 321-272-1371.

Location: 827 Toluca St Se, Palm Bay, FL, 32909-7420
person
Provider Profile Details
NPI Number
1356863823
Provider Name
Jacqueline Anne Maple
Credential
LMHC,MCAP
Provider Entity Type
Individual
Gender
Female
Address
827 Toluca St Se, Palm Bay, FL, 32909-7420
Phone Number
321-272-1371
Fax Number
Provider Enumeration Date
07/17/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MCAP100566 01 FL FL CERTIFICATION BOARD
MH16368 01 FL STATE OF FL DOH
institution
Provider Business Practice Location Address Details
Address
827 Toluca St Se
City
State
Zip
32909-7420
Phone Number
321-272-1371
Fax Number
person
Provider Business Mailing Address Details
Address
827 Toluca St Se
City
State
Zip
32909-7420
Phone Number
321-272-1371
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
IMH14960 (Florida)
Definition
Definition to come...
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