Jaytavia Broadnax

NPI #1255937884 in Palm Harbor, Florida

Provider Information

NPI Number: 1255937884
Entity Type: Individual
Name: Jaytavia Broadnax
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Dec 9, 2020
Last Updated: Dec 9, 2020

Practice Location

Address: 2311 ALT 19
City: Palm Harbor
State: Florida
ZIP Code: 34683-2631
Phone: (630) 200-4823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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