Individual provider · Type 1 NPI

Jason Tanner, LMHC

Mental Health Counselor · Lakeland, FL

NPI number 1770038333 Active

Practice location

190 Fitzgerald Rd Ste 1
Lakeland, FL 33813-2620

Mailing address

4098 Winding Vine Dr
Lakeland, FL 33812-2200

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH12384 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1770038333

Jason Tanner, LMHC's National Provider Identifier is 1770038333, issued on Aug 23, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakeland, FL. The record was last updated on Aug 23, 2016.