Ms Jaclyn Lizzette Infanzon, MS - Counselor in St Petersburg, FL

Ms Jaclyn Lizzette Infanzon, MS is a Counselor - Mental Health based in St Petersburg, Florida. Ms Jaclyn Lizzette Infanzon is licensed to practice in Florida (license number IMH 6774) and her current practice location is 1010 1st St N, St Petersburg, Florida. She can be reached at her office (for appointments etc.) via phone at (727) 501-4553.

NPI number for Ms Jaclyn Lizzette Infanzon is 1043545999 and her current mailing address is 1010 1st St N, St Petersburg, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043545999.

Contact Information

Ms Jaclyn Lizzette Infanzon, MS
1010 1st St N,
St Petersburg, FL 33701-1808
(727) 501-4553
(727) 865-5178

Map and Direction


Healthcare Provider's Profile

Full NameMs Jaclyn Lizzette Infanzon
GenderFemale
SpecialityCounselor - Mental Health
Location1010 1st St N, St Petersburg, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043545999
  • Provider Enumeration Date: 10/09/2009
  • Last Update Date: 10/09/2009

Medical Identifiers

Medical identifiers for Ms Jaclyn Lizzette Infanzon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043545999NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health IMH 6774 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jaclyn Lizzette Infanzon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Jaclyn Lizzette Infanzon, MS
1010 1st St N,
St Petersburg, FL 33701-1808

Ph: (727) 501-4553
Ms Jaclyn Lizzette Infanzon, MS
1010 1st St N,
St Petersburg, FL 33701-1808

Ph: (727) 501-4553

Reviews and Comments


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