Female

Jill A. Cantrell

Counselor in Tampa, FL(View on Map)

Full Name

Jill Anne Cantrell

NPI Number

1770808016

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/30/2010

Specialties

(Taxonomies)

Code

101Y00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

MH9928

Contact
Information

Purpose

Mailing
Location

Address

5100 BURCHETTE RD UNIT 905
1006 W PLATT ST

City

Tampa
Tampa

State

FL
FL

Postal Code

33647-1060
33606-2116

Country

US
US

Telephone Number

(813) 505-3956
(813) 505-3956

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/12/2019

Provider Address

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