Search › Florida › 1041C0700X
Judith Jacques, MSW, LCSW
NPI 1407894017 · on the registry since 2006 · sole proprietor
Practice
- Address
- 22904 Lyden Dr Ste 104
Estero, FL 33928 - Phone
- (239) 494-3951
- Fax
- (239) 217-9561
- Organisation at this address
- Florida Vision Centers Inc
Ellie Mental Health Of EsteroInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
1041C0700X - Licence states on file
- SC, MA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida