Individual provider · Type 1 NPI
Doreatha Jackson Fields, ED.D
Counselor · Melbourne, FL
NPI number
1528565116
Active
Practice location
1409 Hoag Ave
Melbourne, FL 32901-7311
Mailing address
250 Hammock Rd SE
Palm Bay, FL 32909-8848
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
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 1528565116
Doreatha Jackson Fields, ED.D's National Provider Identifier is 1528565116, issued on Apr 10, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Melbourne, FL. The record was last updated on Apr 10, 2018.