Individual provider · Type 1 NPI

Jacklyn Kelly

Mental Health Counselor · Tampa, FL

NPI number 1386482008 Active

Practice location

10014 N Dale Mabry Hwy Ste 202
Tampa, FL 33618-4426

Call (813) 609-2721 Map

Other practice locations

  • 205 Hudson St Fl 9, New York, NY 10013-1810 · (646) 941-7645

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X014918 (NY)
Mental Health Counselor Primary 101YM0800XMH24162 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1386482008

Jacklyn Kelly's National Provider Identifier is 1386482008, issued on Jul 17, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tampa, FL. The record was last updated on Nov 6, 2024.