Individual provider · Type 1 NPI

Jackie Spain

Counselor · Orlando, FL

NPI number 1497210561 Active

Practice location

5749 Westgate Dr Ste 102
Orlando, FL 32835-5040

Call (321) 441-1030 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X17518 (FL)
Counselor Primary 101Y00000X17518 (FL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1497210561

Jackie Spain's National Provider Identifier is 1497210561, issued on Feb 4, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Orlando, FL. The record was last updated on Jun 9, 2021.