person
Jack Clement I
Mental Health Counselor in Maitland, Florida
NPI 1881806115

Jack Clement I is a Mental Health Counselor based in Maitland, FL and is specialized in Mental Health. Jack Clement I practices in Maitland, FL. The NPI Number for Jack Clement I is 1881806115 and holds a License No. MH0002935 (Florida).

The current practice location address for Jack Clement I is 260 Lookout Pl, Maitland, FL and can be reached out via phone at 407-647-1781 and via fax at 407-647-4628.

Location: 260 Lookout Pl, Maitland, FL, 32751-4492
person
Provider Profile Details
NPI Number
1881806115
Provider Name
Jack Clement I
Credential
Provider Entity Type
Individual
Gender
Male
Address
260 Lookout Pl, Maitland, FL, 32751-4492
Phone Number
407-647-1781
Fax Number
407-647-4628
Provider Enumeration Date
05/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
260 Lookout Pl
City
State
Zip
32751-4492
Phone Number
407-647-1781
Fax Number
407-647-4628
person
Provider Business Mailing Address Details
Address
260 Lookout Pl
City
State
Zip
32751-4492
Phone Number
407-647-1781
Fax Number
407-647-4628
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH0002935 (Florida)
Definition
Definition to come...
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