Individual provider · Type 1 NPI

Jennifer Matilla

Mental Health Counselor · Tampa, FL

NPI number 1821462755 Active

Practice location

6507 Gunn Hwy
Tampa, FL 33625-4021

Call (813) 374-2070 Map

Fax (813) 489-4347

Mailing address

11651 SW 64th Ave
Miami, FL 33156

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH 13534 (FL)
Professional Counselor 101YP2500XLPC37PC0024280 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1821462755

Jennifer Matilla's National Provider Identifier is 1821462755, issued on Nov 16, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tampa, FL. The record was last updated on Nov 16, 2015.