Individual provider · Type 1 NPI

Jenna Grace Mallek Campos

Mental Health Counselor · Orlando, FL

NPI number 1407457161 Active

Practice location

13626 Phoenix Dr
Orlando, FL 32828-9338

Call (407) 925-9104 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407457161

Jenna Grace Mallek Campos's National Provider Identifier is 1407457161, issued on Nov 7, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orlando, FL. The record was last updated on Nov 7, 2020.