JASON TANNER

LAKELAND, FL
NPI1770038333
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH12384)
Enumeration Date2016-08-23
Last Update Date2016-08-23
Business Address
-- JASON TANNER LMHC
190 FITZGERALD RD STE 1
LAKELAND, FL 33813-2620
Phone number: 863-255-2784
Mailing Address
-- JASON TANNER LMHC
4098 WINDING VINE DR
LAKELAND, FL 33812-2200
Phone number: 863-255-2784
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