Individual provider · Type 1 NPI

Jack Clement I

Mental Health Counselor · Maitland, FL

NPI number 1881806115 Active

Practice location

260 Lookout Pl
Maitland, FL 32751-4492

Fax (407) 647-4628

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH0002935 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1881806115

Jack Clement I's National Provider Identifier is 1881806115, issued on May 7, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Maitland, FL. The record was last updated on Jul 8, 2007.