Individual provider · Type 1 NPI

Jacole Haston

Mental Health Counselor · Fort Pierce, FL

NPI number 1922565290 Active

Practice location

2222 Colonial Rd Ste 201
Fort Pierce, FL 34950-5309

Call (772) 489-4726 Map

Mailing address

3591 NW Treasure Coast Dr Apt 104
Jensen Beach, FL 34957-4411

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1922565290

Jacole Haston's National Provider Identifier is 1922565290, issued on Feb 22, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Pierce, FL. The record was last updated on May 5, 2021.