Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORGE VIDAL
ActiveJORGE VIDAL is a Mental Health Counselor healthcare provider located in MELBOURNE, Florida. NPI 1912135815 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · MELBOURNE, FL
Registration Details
- NPI Number
- 1912135815
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2009 (16.943422804091 yrs)
- Last Updated
- Oct 23, 2015
Practice Information
- Address
-
4450 W EAU GALLIE BLVDMELBOURNE, FL, 329347213Browse FL providers · Browse ZIP 32934
- Phone
- 3217523100
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in MELBOURNE, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. CAROL JEANETTE FAIRCHILD | ARNP | 1972565547 |
| MS. DIANA SUE PACK | MA, LMHC | 1346299054 |
| MR. MICHAEL E SPENCER | LMHC | 1073562625 |
| MS. SUSAN NELSON KILEY | L.M.H.C | 1043260417 |
| ANGELA JEANNE REAM | MA, LMHC | 1760434849 |
| MS. REBECCA BIGGIN | ARNP | 1790728616 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.