BRENT JASON CONCKLIN

WESLEY CHAPEL, FL
NPI1871746404
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH6097)
Enumeration Date2008-10-28
Last Update Date2014-02-05
Business Address
-- BRENT JASON CONCKLIN LMHC
2100 ASHLEY OAKS CIR
WESLEY CHAPEL, FL 33544-6416
Phone number: 813-308-9808
Mailing Address
-- BRENT JASON CONCKLIN LMHC
2100 ASHLEY OAKS CIR
WESLEY CHAPEL, FL 33544-6416
Phone number: 813-308-9808