Provider Demographics
NPI:1164504510
Name:MAGUIRE, JANE E (MA LMHC CAP)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:E
Last Name:MAGUIRE
Suffix:
Gender:F
Credentials:MA LMHC CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 SOUTH BELCHER ROAD
Mailing Address - Street 2:B4
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771
Mailing Address - Country:US
Mailing Address - Phone:727-531-7988
Mailing Address - Fax:727-531-0950
Practice Address - Street 1:1501 SOUTH BELCHER ROAD
Practice Address - Street 2:B4
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771
Practice Address - Country:US
Practice Address - Phone:727-531-7988
Practice Address - Fax:727-531-0950
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4157101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health