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Tai-isha Watson-jack, LCSW
Mental Health Counselor in Jacksonville, Florida
NPI 1073914230

Tai-isha Watson-jack is a Mental Health Counselor based in Jacksonville, FL and is specialized in Mental Health. Tai-isha Watson-jack practices in Jacksonville, FL and has the professional credentials of LCSW. The NPI Number for Tai-isha Watson-jack is 1073914230 and holds a License No. (Florida).

The current practice location address for Tai-isha Watson-jack is 3027 San Diego Rd, Jacksonville, FL and can be reached out via phone at 904-568-8215.

Location: 3027 San Diego Rd, Jacksonville, FL, 32207-3691
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Provider Profile Details
NPI Number
1073914230
Provider Name
Tai-isha Watson-jack
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
3027 San Diego Rd, Jacksonville, FL, 32207-3691
Phone Number
904-568-8215
Fax Number
Provider Enumeration Date
09/08/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03505424 05 NY
SW18676 01 FL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
3027 San Diego Rd
City
State
Zip
32207-3691
Phone Number
904-568-8215
Fax Number
person
Provider Business Mailing Address Details
Address
3027 San Diego Rd
City
State
Zip
32207-3691
Phone Number
904-568-8215
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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