Individual provider · Type 1 NPI

Angela Jerry

Mental Health Counselor · Orlando, FL

NPI number 1124454855 Active

Practice location

4700 Millenia Blvd, Suite 175
Orlando, FL 32839-6013

Call (407) 801-8476 Map

Mailing address

10069 Lee Vista Blvd, Apartment 11108
Orlando, FL 32829-8117

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X11740 (FL)
Mental Health Counselor Primary 101YM0800XIMH11740 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1124454855

Angela Jerry's National Provider Identifier is 1124454855, issued on Sep 26, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orlando, FL. The record was last updated on Jan 4, 2017.