institution
Isa Tanenbaum Inc
Mental Health Counselor in Jacksonville, Florida
NPI 1174924682

Isa Tanenbaum Inc is a Mental Health Counselor based in Jacksonville, FL and is specialized in Mental Health. Isa Tanenbaum Inc practices in Jacksonville, FL. The NPI Number for Isa Tanenbaum Inc is 1174924682 and holds a License No. MH5265 (Florida).

The current practice location address for Isa Tanenbaum Inc is 2950 Halcyon Ln, Jacksonville, FL and can be reached out via phone at 904-292-2407.

Location: 2950 Halcyon Ln, Jacksonville, FL, 32223-7118
institution
Provider Profile Details
NPI Number
1174924682
Provider Name
Isa Tanenbaum Inc
Credential
Provider Entity Type
Organization
Address
2950 Halcyon Ln, Jacksonville, FL, 32223-7118
Phone Number
904-292-2407
Fax Number
Provider Enumeration Date
09/16/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z9487 01 FL FLORIDA BLUE ID
institution
Provider Business Practice Location Address Details
Address
2950 Halcyon Ln
City
State
Zip
32223-6689
Phone Number
904-292-2407
Fax Number
person
Provider Business Mailing Address Details
Address
2950 Halcyon Ln
City
State
Zip
32223-6689
Phone Number
904-292-2407
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH5265 (Florida)
Definition
Definition to come...
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