Organization · Type 2 NPI

Isa Tanenbaum Inc

Mental Health Counselor · Jacksonville, FL

NPI number 1174924682 Active

Practice location

2950 Halcyon Ln, Suite 701
Jacksonville, FL 32223-6689

Mailing address

2652 Sims Cove Ln
Jacksonville, FL 32223-7118

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH5265 (FL)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1174924682

Isa Tanenbaum Inc's National Provider Identifier is 1174924682, issued on Sep 16, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 16, 2014.