Individual
JILLIAN KAY KOULESSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9651 SANTA ROSA DR, TAMARAC, FL 33321-6315
(954) 995-8652
Mailing address
9651 SANTA ROSA DR, TAMARAC, FL 33321-6315
(954) 995-8652
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7583
FL
Other
Enumeration date
09/16/2025
Last updated
10/24/2025
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