Individual provider · Type 1 NPI

Katie Jendrisak, REGISTERED MHC INTER

Mental Health Counselor · Daytona Beach, FL

NPI number 1023365111 Active

Practice location

160 N Beach St
Daytona Beach, FL 32114-3314

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH 8503 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1023365111

Katie Jendrisak, REGISTERED MHC INTER's National Provider Identifier is 1023365111, issued on Aug 8, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Daytona Beach, FL. The record was last updated on Aug 8, 2012.