Individual provider · Type 1 NPI
Jacquelyn Michelle Granda, LMHC, NCC
Mental Health Counselor · Boca Raton, FL
NPI number
1629625843
Active
Practice location
21301 Powerline Rd Ste 304
Boca Raton, FL 33433-2391
Mailing address
8267 Via Leonessa
Boca Raton, FL 33433-2220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH17038 (FL) |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1629625843
Jacquelyn Michelle Granda, LMHC, NCC's National Provider Identifier is 1629625843, issued on Aug 22, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boca Raton, FL. The record was last updated on Aug 22, 2019.