Individual provider · Type 1 NPI

Gertie Mallard-Teal

Mental Health Counselor · Tampa, FL

NPI number 1851132278 Active

Practice location

401 W Kennedy Blvd
Tampa, FL 33606-1450

Mailing address

1923 Redbridge Dr
Brandon, FL 33511-8398

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH23449 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1851132278

Gertie Mallard-Teal's National Provider Identifier is 1851132278, issued on Jun 3, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tampa, FL. The record was last updated on Jun 3, 2024.