Individual provider · Type 1 NPI
Kaydianne Nugent-Jackson
Mental Health Counselor · St. Petersburg, FL
NPI number
1568038826
Active
Practice location
4905 34th St S # 182
St. Petersburg, FL 33711-4511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH17633 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1568038826
Kaydianne Nugent-Jackson's National Provider Identifier is 1568038826, issued on May 27, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Petersburg, FL. The record was last updated on May 27, 2021.