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NPI Code Detail

MEDICARE: FERNANDA ORDONEZ LMHC

MEDICARE: FERNANDA ORDONEZ LMHC
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 Counselor9264SC
2222Q00000XDevelopmental Therapist
3101YM0800XMental Health CounselorMH15645FL

General Provider Information

NPI Number : 1669838660
Entity Type Code : Individual
Provider Name (Legal Business Name) : FERNANDA ORDONEZ LMHC
Provider Business Mailing Address
First Line : 9512 GLENN ABBEY WAY
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6485
Country : US
Telephone Number : 904-859-7134
Fax Number :
Provider Business Practice Location Address
First Line : 225 N MICHIGAN AVE STE 1430
Second Line :
City : CHICAGO
State : IL
Zip : 60601-7653
Country : US
Telephone Number : 904-859-7134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2016
Last Update Date : 04/09/2024

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Directions to “ FERNANDA ORDONEZ LMHC” Practice Location

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