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Ms. Jacqueline Parthenia Small Darville
Mental Health Counselor in Cocoa, Florida
NPI 1780329698

Jacqueline Parthenia Small Darville is a Mental Health Counselor based in Cocoa, FL and is specialized in Mental Health. Jacqueline Parthenia Small Darville practices in Cocoa, FL. The NPI Number for Jacqueline Parthenia Small Darville is 1780329698 and holds a License No. IMH21892 (Florida).

The current practice location address for Jacqueline Parthenia Small Darville is 640 Brevard Ave Ste 104, Cocoa, FL and can be reached out via phone at 321-433-1111.

Location: 640 Brevard Ave Ste 104, Cocoa, FL, 32922-7849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780329698
Provider Name
Jacqueline Parthenia Small Darville
Credential
Provider Entity Type
Individual
Gender
Female
Address
640 Brevard Ave Ste 104, Cocoa, FL, 32922-7849
Phone Number
321-433-1111
Fax Number
Provider Enumeration Date
05/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
640 Brevard Ave Ste 104
City
Cocoa
State
Florida
Zip
32922-7849
Phone Number
321-433-1111
Fax Number
person
Provider Business Mailing Address Details
Address
640 Brevard Ave Ste 104
City
Cocoa
State
Florida
Zip
32922-7849
Phone Number
321-433-1111
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMH21892 (Florida)
Definition
Definition to come...
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