Doctor Name: | MRS. JACQUELINE DARMONT |
NPI Number: | 1285998260 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S, L.M.H.C |
License Number: | MH 8013 |
Business Practice Address: | 6450 Sw 120th St Pinecrest, FL - 331564835 |
Business Phone Number: | 7863428792 |
Business Fax Number: | |
Mailing Address: | 6450 Sw 120th St, PINECREST |
State: | FL |
Postal Code: | 331564835 |
Phone Number: | 7863428792 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2012 |
NPI Last Update Date: | 06/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH 8013 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |