Individual provider · Type 1 NPI

Jennifer Kollasch

Mental Health Counselor · Jacksonville, FL

NPI number 1407772601 Active

Practice location

10245 Centurion Pkwy N Ste 250
Jacksonville, FL 32256-0561

Call (904) 674-3521 Map

Mailing address

3450 Peoria Rd
Orange Park, FL 32065-7625

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH29360 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1407772601

Jennifer Kollasch's National Provider Identifier is 1407772601, issued on Jun 24, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 24, 2026.