Jackie Spain is a Counselor based in Orlando, FL. Jackie Spain practices in Orlando, FL. The NPI Number for Jackie Spain is 1497210561 and holds a License No. 17518 (Florida).
The current practice location address for Jackie Spain is 5749 Westgate Dr Ste 102, Orlando, FL and can be reached out via phone at 321-441-1030.
Location: 5749 Westgate Dr Ste 102, Orlando, FL, 32835-5040
Provider Profile Details
NPI Number
1497210561
Provider Name
Jackie Spain
Credential
Provider Entity Type
Individual
Gender
Female
Address
5749 Westgate Dr Ste 102, Orlando, FL, 32835-5040
Phone Number
321-441-1030
Fax Number
Provider Enumeration Date
02/04/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
5749 Westgate Dr Ste 102
City
State
Zip
32835-5040
Phone Number
321-441-1030
Fax Number
Provider Business Mailing Address Details
Address
5749 Westgate Dr Ste 102
City
State
Zip
32835-5040
Phone Number
321-441-1030
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
17518 (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.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
17518 (Florida)
Definition
Definition to come...
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