Individual provider · Type 1 NPI
Jacqueline Jonas McCollum, LMHC
Mental Health Counselor · Leesburg, FL
NPI number
1689875122
Active
Practice location
217 N 14th St
Leesburg, FL 34748-4821
Fax (352) 365-2334
Mailing address
1318 Springlake Rd
Fruitland Park, FL 34731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH 5473 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1689875122
Jacqueline Jonas McCollum, LMHC's National Provider Identifier is 1689875122, issued on May 31, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Leesburg, FL. The record was last updated on Jul 8, 2007.