Jomon John Thekkethottiyil
NPI #1023376894 in St Petersburg, Florida
Provider Information
- NPI Number
- 1023376894
- Entity Type
- Individual
- Name
- Jomon John Thekkethottiyil
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Apr 30, 2012
- Last Updated
- Jun 18, 2012
Practice Location
- Address
- 4024 CENTRAL AVE
- City
- St Petersburg
- State
- Florida
- ZIP Code
- 33711-1239
- Phone
- (727) 327-7656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Counselor |
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