Provider Demographics
NPI:1336589266
Name:DELGATTO, JESSICA (LMHC, LPC, CCTPII)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:DELGATTO
Suffix:
Gender:F
Credentials:LMHC, LPC, CCTPII
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:QUINLIVAN-DELGATTO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 361513
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32936-1513
Mailing Address - Country:US
Mailing Address - Phone:321-345-0669
Mailing Address - Fax:
Practice Address - Street 1:1626 AVOCADO AVE
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-6549
Practice Address - Country:US
Practice Address - Phone:321-345-0669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2024-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC-2029101YM0800X
FLMH20083101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health