Clarke Jemmott, Jacqueline Kathleen

Clarke Jemmott, Jacqueline Kathleen is an sole proprietor health care provider with primary practice located at 7203 Pine Forest Rd , Pensacola FL 32526. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Clarke Jemmott, Jacqueline Kathleen can be contacted via phone (954) 274-0507.

Contact Information

Primary practice address
7203 Pine Forest Rd Pensacola FL 32526
Phone: (954) 274-0507
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MCAP010627 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MT2821 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT2821 Florida

Profile Details

NPI number 1760733398
LBN Legal business name Clarke Jemmott, Jacqueline Kathleen
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2012
Last updated Aug 28th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760733398 NPPES
Florida MEDICAID 1760733398

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