Individual provider · Type 1 NPI

Jaclyn Michelle Hall

Mental Health Counselor · Tampa, FL

NPI number 1083269666 Active

Practice location

14502 N Dale Mabry Hwy Ste 200
Tampa, FL 33618-2040

Mailing address

9009 Post Rd
Odessa, FL 33556-2028

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH17940 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1083269666

Jaclyn Michelle Hall's National Provider Identifier is 1083269666, issued on Aug 9, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tampa, FL. The record was last updated on Aug 9, 2019.