Da Hora, Jacquelin

Da Hora, Jacquelin is an sole proprietor health care provider with primary practice located at 3733 W Flagler St , Coral Gables FL 33134-1601. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Da Hora, Jacquelin can be contacted via phone (305) 774-3400.

Contact Information

Primary practice address
3733 W Flagler St Coral Gables FL 33134-1601
Phone: (305) 774-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12822 South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW13811 Florida

Profile Details

NPI number 1992298202
LBN Legal business name Da Hora, Jacquelin
Credentials LISW-CP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2018
Last updated Mar 3rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992298202 NPPES
South Carolina MEDICAID 1760596480

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