JASON CONKLIN

TAMPA, FL
NPI1437555927
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-11-10
Last Update Date2014-11-10
Business Address
-- JASON CONKLIN
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8069
Mailing Address
-- JASON CONKLIN
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8069