Individual
NICOLE KAHHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 N JEFFERSON ST, UF HEALTH CARES/RAINBOW, JACKSONVILLE, FL 32209-6810
(303) 570-2745
Mailing address
910 N JEFFERSON ST, UF HEALTH CARES/RAINBOW, JACKSONVILLE, FL 32209-6810
(303) 570-2745
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
PY9761
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY9761
FL
Other
Enumeration date
04/25/2012
Last updated
03/15/2017
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