Individual provider · Type 1 NPI
Carlos Alberto Jazan, LMHC
Mental Health Counselor · Gulf Breeze, FL
NPI number
1396033874
Active
Practice location
4038 Sandy Bluff Dr W
Gulf Breeze, FL 32563-2938
Fax (850) 665-3599
Mailing address
PO Box 838
Gulf Breeze, FL 32562-0838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH3744 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1396033874
Carlos Alberto Jazan, LMHC's National Provider Identifier is 1396033874, issued on Jul 18, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gulf Breeze, FL. The record was last updated on Mar 5, 2013.