| Child And Family Therapy Associates, P.a. | |
|
600 Sandtree Dr Suite 209 Palm Beach Gardens FL 33403-1597 | |
| (561) 371-1885 | |
| (561) 355-8365 |
| Full Name | Child And Family Therapy Associates, P.a. |
|---|---|
| Speciality | Social Worker |
| Location | 600 Sandtree Dr, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Michelle C Jacobson (OWNER) |
| Authorized Official Contact | 5613711885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Family Therapy Associates, P.a. 600 Sandtree Dr Suite 209 Palm Beach Gardens FL 33403-1597 Ph: (561) 371-1885 | Child And Family Therapy Associates, P.a. 600 Sandtree Dr Suite 209 Palm Beach Gardens FL 33403-1597 Ph: (561) 371-1885 |
| NPI Number | 1952610818 |
|---|---|
| Provider Enumeration Date | 09/27/2010 |
| Last Update Date | 07/22/2014 |
| Medicare PECOS PAC ID | 6709108376 |
|---|---|
| Medicare Enrollment ID | O20141210000805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952610818 | NPI | - | NPPES |
| Z5084 | Other | FL | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3033 (Florida) | Primary |
| Provider Name | Michelle C Jacobson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689852956 PECOS PAC ID: 0446144547 Enrollment ID: I20040210000804 |
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