| Jason R Kloss Phd Lmhc Mcap Llc | |
|
2288 Drew St. Suite B Clearwater FL 33765 | |
| (727) 308-1330 | |
| Not Available |
| Full Name | Jason R Kloss Phd Lmhc Mcap Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2288 Drew St., Clearwater, Florida |
| Authorized Official Name and Position | Jason Robert Kloss (OWNER / SOLE MEMBER) |
| Authorized Official Contact | 7273081330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason R Kloss Phd Lmhc Mcap Llc 2288 Drew St. Suite B Clearwater FL 33765 Ph: (727) 308-1330 | Jason R Kloss Phd Lmhc Mcap Llc 2288 Drew St. Suite B Clearwater FL 33765 Ph: (727) 308-1330 |
| NPI Number | 1730760455 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 04/15/2021 |
| Certification Date | 04/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730760455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
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