Provider Demographics
NPI:1386410736
Name:JING, CUI
Entity type:Individual
Prefix:
First Name:CUI
Middle Name:
Last Name:JING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 SHAMROCK W APT G232
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-2694
Mailing Address - Country:US
Mailing Address - Phone:561-346-8397
Mailing Address - Fax:
Practice Address - Street 1:3711 SHAMROCK W APT G232
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-2694
Practice Address - Country:US
Practice Address - Phone:561-346-8397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health