Benisha Copeland Jackson MS

NPI 1215222419 - Counselor - 101YM0800X

NPI Details
NPI 1215222419
Gender Female
Enumeration Date 06/15/2011
Last Updated 06/15/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
11428 N 53RD ST
TEMPLE TERRACE FL, 33617-2216, US
Phone (813) 374-9416
Fax (813) 443-5795
Business Location
11428 N 53RD ST
TEMPLE TERRACE FL, 33617-2216, US
Phone (813) 374-9416
Fax (813) 443-5795
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Benisha Copeland Jackson MS NPI is 1215222419, taxonomy code is 101YM0800X Benisha Copeland Jackson MS physically located at 11428 N 53rd St, Temple Terrace FL, 33617-2216. NPI Number Benisha Copeland Jackson MS has the Individual type.

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1215222419 NPI number is provided on an as is basis without warranty of any kind. 1215222419 is maintained by the National Plan & Provider Enumeration System. The contents of Benisha Copeland Jackson MS are for informational purposes only.