Individual provider · Type 1 NPI

Jed Shlackman, L.M.H.C.

Mental Health Counselor · Miami, FL

NPI number 1962650143 Active

Practice location

12965 SW 112th Ave
Miami, FL 33176-4453

Call (305) 259-0013 Map

Fax (305) 259-0013

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH 5806 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1962650143

Jed Shlackman, L.M.H.C.'s National Provider Identifier is 1962650143, issued on Aug 30, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Miami, FL. The record was last updated on Aug 30, 2008.