person
Mrs. Jacqueline Jonas Mccollum, LMHC
Mental Health Counselor in Leesburg, Florida
NPI 1689875122

Jacqueline Jonas Mccollum is a Mental Health Counselor based in Fruitland Park, FL and is specialized in Mental Health. Jacqueline Jonas Mccollum practices in Leesburg, FL and has the professional credentials of LMHC. The NPI Number for Jacqueline Jonas Mccollum is 1689875122 and holds a License No. MH 5473 (Florida).

The current practice location address for Jacqueline Jonas Mccollum is 217 N 14Th St, Leesburg, FL and can be reached out via phone at 352-365-1098 and via fax at 352-365-2334.

Location: 217 N 14Th St, Leesburg, FL, 34731
person
Provider Profile Details
NPI Number
1689875122
Provider Name
Jacqueline Jonas Mccollum
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
217 N 14Th St, Leesburg, FL, 34731
Phone Number
352-365-1098
Fax Number
352-365-2334
Provider Enumeration Date
05/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z9825 01 FL BCBS NUMBER
institution
Provider Business Practice Location Address Details
Address
217 N 14Th St
City
State
Zip
34748-4821
Phone Number
352-365-1098
Fax Number
352-365-2334
person
Provider Business Mailing Address Details
Address
217 N 14Th St
City
State
Zip
34748-4821
Phone Number
352-365-1098
Fax Number
352-365-2334
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH 5473 (Florida)
Definition
Definition to come...
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