Individual
ALLURA KAYLEN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6344 BARTHOLF AVE, JACKSONVILLE, FL 32210-7271
(904) 728-3689
Mailing address
6344 BARTHOLF AVE, JACKSONVILLE, FL 32210-7271
(904) 728-3689
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH28147
FL
106S00000X
Behavior Technician
Primary
BACB568900
FL
Other
Enumeration date
05/22/2020
Last updated
07/23/2026
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