Individual provider · Type 1 NPI

Kolu Jennings, MCAP, CMHP, CBHCMS

Addiction (Substance Use Disorder) Counselor · Jacksonville, FL

NPI number 1467997411 Active

Practice location

590 Ellis Rd S
Jacksonville, FL 32254-3555

Call (904) 800-2231 Map

Mailing address

6266 Dupont Station Ct E
Jacksonville, FL 32217-2567

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1467997411

Kolu Jennings, MCAP, CMHP, CBHCMS's National Provider Identifier is 1467997411, issued on Dec 30, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 24, 2022.