Jackie Deon Lamons, LCSW
Social Worker, Clinical in Hallandale Beach, FL. Individual provider (NPI-1).
NPI number1104366152
StatusActive
Last updated in NPPESJul 29, 2021
Details
- NPI
- 1104366152
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jackie Deon Lamons
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2017
- Certification date
- Jul 26, 2021
- Last updated
- Jul 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 12290 | FL | Yes |
Practice location
205 Nw 8th AveApt 202
Hallandale Beach, FL 33009-3906
Phone 786-387-4777
Mailing address
18441 Nw 2nd Ave Ste 116Miami, FL 33169-4571
Phone 786-267-5462
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