Provider Demographics
NPI:1518304542
Name:HAUGHTON, JILLIAN DENINE (MSW)
Entity Type:Individual
Prefix:MS
First Name:JILLIAN
Middle Name:DENINE
Last Name:HAUGHTON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1847 WINDMILL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-5853
Mailing Address - Country:US
Mailing Address - Phone:407-325-6145
Mailing Address - Fax:
Practice Address - Street 1:1847 WINDMILL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-5853
Practice Address - Country:US
Practice Address - Phone:407-325-6145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-31
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical