Individual
BRENT JASON CONCKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
2100 ASHLEY OAKS CIR, WESLEY CHAPEL, FL 33544-6416
(813) 308-9808
Mailing address
2100 ASHLEY OAKS CIR, WESLEY CHAPEL, FL 33544-6416
(813) 308-9808
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH6097
FL
Other
Enumeration date
10/28/2008
Last updated
02/05/2014
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