Provider Demographics
NPI:1194960823
Name:ADORNO, JEANINES D (MA)
Entity type:Individual
Prefix:MRS
First Name:JEANINES
Middle Name:D
Last Name:ADORNO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1377 SIERRA CIR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-3660
Mailing Address - Country:US
Mailing Address - Phone:321-624-2325
Mailing Address - Fax:
Practice Address - Street 1:1377 SIERRA CIR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-3660
Practice Address - Country:US
Practice Address - Phone:321-624-2325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health