| Doctor Name: | MRS. JACQUELINE REARDON CURTIS |
| NPI Number: | 1164531018 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1201 Nw 16th St Pm&rs (117) Miami, FL - 331251624 |
| Business Phone Number: | 3053244455 |
| Business Fax Number: | 3055753415 |
| Mailing Address: | 5851 Holmberg Rd, 1124 PARKLAND |
| State: | FL |
| Postal Code: | 330674536 |
| Phone Number: | 9547578727 |
| Fax Number: | |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy 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 |