Provider Demographics
NPI:1225026644
Name:CAGNEY, JACQUELINE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:
Last Name:CAGNEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5571 N UNIVERSITY DR #101
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067
Mailing Address - Country:US
Mailing Address - Phone:954-544-4991
Mailing Address - Fax:954-544-4992
Practice Address - Street 1:5571 N UNIVERSITY DR #101
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067
Practice Address - Country:US
Practice Address - Phone:954-544-4991
Practice Address - Fax:954-544-4992
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-10
Last Update Date:2024-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT0001579106H00000X
FL1589101YA0400X
FLMT1579101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health