Individual
JILL ANNE CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1006 W PLATT ST, TAMPA, FL 33606-2116
(813) 505-3956
(833) 922-1072
Mailing address
5100 BURCHETTE RD UNIT 905, TAMPA, FL 33647-1060
(813) 505-3956
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH9928
FL
Other
Enumeration date
03/30/2010
Last updated
12/12/2019
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