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NPI Code Detail

MEDICARE: JILL MOONEY

MEDICARE: JILL MOONEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH161811FL

General Provider Information

NPI Number : 1033575550
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL MOONEY
Provider Business Mailing Address
First Line : 555 WINDERLEY PL STE 300
Second Line :
City : MAITLAND
State : FL
Zip : 32751-7133
Country : US
Telephone Number : 803-627-8169
Fax Number :
Provider Business Practice Location Address
First Line : 555 WINDERLEY PL STE 300
Second Line :
City : MAITLAND
State : FL
Zip : 32751-7133
Country : US
Telephone Number : 803-627-8169
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2016
Last Update Date : 09/09/2024

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Directions to “ JILL MOONEY ” Practice Location

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