Organization Name: | JACQUELINE DARMONT, L.M.H.C, P.A |
NPI Number: | 1447514328 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACQUELINE DARMONT (DIRECTOR) |
Mailing Address: | 6450 Sw 120th St Pinecrest |
State: | FL US |
Postal Code: | 331564835 |
Phone Number: | 7863428792 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2012 |
NPI Last Update Date: | 06/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | MH 8013 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |