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Jaclyn Michelle Hall
Mental Health Counselor in Tampa, Florida
NPI 1083269666

Jaclyn Michelle Hall is a Mental Health Counselor based in Odessa, FL and is specialized in Mental Health. Jaclyn Michelle Hall practices in Tampa, FL. The NPI Number for Jaclyn Michelle Hall is 1083269666 and holds a License No. IMH17940 (Florida).

The current practice location address for Jaclyn Michelle Hall is 14502 N Dale Mabry Hwy Ste 200, Tampa, FL and can be reached out via phone at 813-397-8099.

Location: 14502 N Dale Mabry Hwy Ste 200, Tampa, FL, 33556-2028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083269666
Provider Name
Jaclyn Michelle Hall
Credential
Provider Entity Type
Individual
Gender
Female
Address
14502 N Dale Mabry Hwy Ste 200, Tampa, FL, 33556-2028
Phone Number
813-397-8099
Fax Number
Provider Enumeration Date
08/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14502 N Dale Mabry Hwy Ste 200
City
Tampa
State
Florida
Zip
33618-2040
Phone Number
813-397-8099
Fax Number
person
Provider Business Mailing Address Details
Address
14502 N Dale Mabry Hwy Ste 200
City
Tampa
State
Florida
Zip
33618-2040
Phone Number
813-397-8099
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMH17940 (Florida)
Definition
Definition to come...
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