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