Individual provider · Type 1 NPI

Jamie Marie Ellison Federico, M.ED., ED.S., NCC

Mental Health Counselor · Maitland, FL

NPI number 1861625196 Active

Practice location

150 Spartan Dr
Maitland, FL 32751-3468

Call (407) 331-8002 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1861625196

Jamie Marie Ellison Federico, M.ED., ED.S., NCC's National Provider Identifier is 1861625196, issued on Sep 3, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Maitland, FL. The record was last updated on Sep 3, 2009.