Individual provider · Type 1 NPI

Ruby Kish, RN, LCSW

Mental Health Counselor · Jacksonville, FL

NPI number 1306196456 Active

Practice location

10175 Fortune Pkwy, 1106
Jacksonville, FL 32256-6746

Mailing address

9343 Illinois St
Jacksonville, FL 32218-6023

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XSW 10973 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1306196456

Ruby Kish, RN, LCSW's National Provider Identifier is 1306196456, issued on Sep 17, 2012. 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 17, 2012.