Male or Other

Dr. Jason R. Kloss PHD, LMHC, QS, MCAP

Mental Health Counselor in Saint Petersburg, FL(View on Map)

Full Name

Dr. Jason Robert Kloss PHD, LMHC, QS, MCAP

NPI Number

1114565546

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/17/2019

Specialties

(Taxonomies)

Code

101YM0800X
101YA0400X
225700000X

Primary Taxonomy

Yes
No
No

Licenses

State

Florida
Florida
Florida

License Number

MH17587
MCAP100855
MA37937

Contact
Information

Purpose

Mailing
Location

Address

1905 TYRONE BLVD N
1905 TYRONE BLVD N

City

Saint Petersburg
Saint Petersburg

State

FL
FL

Postal Code

33710-4841
33710-4841

Country

US
US

Telephone Number

(727) 308-1330
(727) 308-1330

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

Data last updated by provider on 12/19/2023

Provider Address

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