KIM ANISE JACKSON-MCCALLA

TAMPA, FL
NPI1053660399
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-08-31
Last Update Date2013-03-20
Business Address
-- KIM ANISE JACKSON-MCCALLA M.S.
1412 TECH BLVD
TAMPA, FL 33610
Phone number: 813-635-9765
Mailing Address
-- KIM ANISE JACKSON-MCCALLA M.S.
1513 E. 31ST AVE
TAMPA, FL 33610
Phone number: 813-340-2286