Individual provider · Type 1 NPI
Kelly Dzioba
Mental Health Counselor · South Pasadena, FL
NPI number
1720916489
Active
Practice location
1615 Pasadena Ave S Ste 330
South Pasadena, FL 33707-4567
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | IMH28402 (FL) |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1720916489
Kelly Dzioba's National Provider Identifier is 1720916489, issued on May 12, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Pasadena, FL. The record was last updated on May 12, 2026.