MRS. JESSICA BLAIR POPOV LMHC
NPI 1629835996
Counselor - Mental Health in Orlando, FL
Active since March 04, 2024
About Mrs. Jessica Blair Popov Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JESSICA BLAIR POPOV LMHC (NPI 1629835996) is an individual mental health provider in Orlando, Florida, licensed in Florida (MH17253) and active in the NPI registry since March 2024.
NPPES Registry Identity
NPI1629835996
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JESSICA BLAIR POPOVCredential: LMHC
Location Address1100 N FERN CREEK AVEOrlando, FL 32803-2628
Mailing Address1115 Bennett Rd # DOrlando, FL 32814-6008 · (407) 637-6348
Phone(407) 637-6348
Sole ProprietorYes
Enumeration DateMarch 4, 2024
NPPES CertifiedMarch 4, 2024
✔ NPI 1629835996 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH17253
1100 N FERN CREEK AVE, Orlando, FL 32803
Other Names 1
Former Name (1)Miss Jessica Jean Blair
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629835996, enumerated as an "individual" on March 04, 2024.
The provider is located at 1100 N FERN CREEK AVE ORLANDO, FL 32803 and the phone number is (407) 637-6348.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
