Mccollum, Jacqueline Jonas

Mccollum, Jacqueline Jonas is an sole proprietor health care provider with primary practice located at 217 N 14Th St , Leesburg FL 34748-4821. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mccollum, Jacqueline Jonas can be contacted via phone (352) 365-1098.

Contact Information

Primary practice address
217 N 14Th St Leesburg FL 34748-4821
Phone: (352) 365-1098
Fax: (352) 365-2334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 5473 Florida

Profile Details

NPI number 1689875122
LBN Legal business name Mccollum, Jacqueline Jonas
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2007
Last updated Jul 8th, 2007 - about 17 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 1689875122 NPPES
Florida Other Z9825 BCBS NUMBER

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