Provider Demographics
NPI:1528389418
Name:MERCIUS, JEAN (MS)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:
Last Name:MERCIUS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 530092
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33403
Mailing Address - Country:US
Mailing Address - Phone:561-598-2150
Mailing Address - Fax:
Practice Address - Street 1:1489 N MILITARY TRL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6029
Practice Address - Country:US
Practice Address - Phone:561-693-5299
Practice Address - Fax:561-615-0065
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor