Individual provider · Type 1 NPI

Jessica Dodd Custer

Student in an Organized Health Care Education/Training Program · Sarasota, FL

NPI number 1053047019 Active

Practice location

4071 Bee Ridge Rd Ste 204
Sarasota, FL 34233-2542

Call (208) 841-0490 Map

Mailing address

8309 Misty Lake Cir
Sarasota, FL 34241-8502

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053047019

Jessica Dodd Custer's National Provider Identifier is 1053047019, issued on Aug 1, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sarasota, FL. The record was last updated on Aug 1, 2022.