Individual provider · Type 1 NPI
Jacquelyn Sue Fedrow, MSW, LSW
Professional Counselor · The Villages, FL
NPI number
1003504382
Active
Practice location
8900 SE 165th Mulberry Ln
The Villages, FL 32162-5884
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 150008293 (IL) |
Professional Counselor: Definition to come...
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About NPI 1003504382
Jacquelyn Sue Fedrow, MSW, LSW's National Provider Identifier is 1003504382, issued on Apr 25, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in The Villages, FL. The record was last updated on Sep 21, 2023.