Individual
MRS. JILL K BERSHAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CAP
Contact information
Practice address
7900 GLADES RD, BOCA RATON, BOCA RATON, FL 33434-4167
(561) 289-1129
Mailing address
7900 GLADES RD, BOCA RATON, BOCA RATON, FL 33434-4167
(561) 289-1129
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAP 4274
FL
101YM0800X
Mental Health Counselor
MH 6133
FL
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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