Individual provider · Type 1 NPI

Jasodra Suba

Mental Health Counselor · Ocoee, FL

NPI number 1659730877 Active

Practice location

1572 Citrus Medical Ct
Ocoee, FL 34761-4547

Fax (866) 456-9587

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XIMH13823 (FL)
Mental Health Counselor 101YM0800XMH13823 (FL)
Mental Health Counselor Primary 101YM0800XMH20684 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1659730877

Jasodra Suba's National Provider Identifier is 1659730877, issued on Feb 16, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ocoee, FL. The record was last updated on Oct 31, 2024.