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Individual

DR. JACQUELINE BLUEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LMHC, LADC

Contact information

Practice address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
(651) 356-2938
Mailing address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
(651) 356-2938

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
302710
MN
101YM0800X
Mental Health Counselor
012189
NY
101YM0800X
Mental Health Counselor
MH22660
FL
101YP2500X
Professional Counselor
2810
MN
103T00000X
Psychologist
Primary

Other

Enumeration date
11/04/2009
Last updated
07/13/2026
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