person
Mr. Jacob A Widdekind, MS
Mental Health Counselor in Hollywood, Florida
NPI 1720649627

Jacob A Widdekind is a Mental Health Counselor based in Hollywood, FL and is specialized in Mental Health. Jacob A Widdekind practices in Hollywood, FL and has the professional credentials of MS. The NPI Number for Jacob A Widdekind is 1720649627 and holds a License No. MH17127 (Florida).

The current practice location address for Jacob A Widdekind is 2421 Hollywood Blvd Ste 1A, Hollywood, FL and can be reached out via phone at 954-369-0570.

Location: 2421 Hollywood Blvd Ste 1A, Hollywood, FL, 33020-6605
person
Provider Profile Details
NPI Number
1720649627
Provider Name
Jacob A Widdekind
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
2421 Hollywood Blvd Ste 1A, Hollywood, FL, 33020-6605
Phone Number
954-369-0570
Fax Number
Provider Enumeration Date
06/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2421 Hollywood Blvd Ste 1A
City
State
Zip
33020-6605
Phone Number
954-369-0570
Fax Number
person
Provider Business Mailing Address Details
Address
2421 Hollywood Blvd Ste 1A
City
State
Zip
33020-6605
Phone Number
954-369-0570
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH17127 (Florida)
Definition
Definition to come...
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