Individual
MR. CARLOS ALBERTO JAZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
4038 SANDY BLUFF DR W, GULF BREEZE, FL 32563-2938
(850) 665-3599
(850) 665-3599
Mailing address
PO BOX 838, GULF BREEZE, FL 32562-0838
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH3744
FL
Other
Enumeration date
07/18/2011
Last updated
03/05/2013
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