Individual provider · Type 1 NPI
Jacqueline Rita, LMHC
Mental Health Counselor · Daytona Beach, FL
NPI number
1598740896
Active
Practice location
211 E International Speedway Blvd Ste 107
Daytona Beach, FL 32118-4662
Fax (386) 401-2414
Mailing address
1225 Ruthbern Rd
Daytona Beach, FL 32114-5961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 11788 (FL) |
| Mental Health Counselor | 101YM0800X | 00222 (RI) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1598740896
Jacqueline Rita, LMHC's National Provider Identifier is 1598740896, issued on Dec 8, 2005. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Daytona Beach, FL. The record was last updated on Mar 3, 2025.