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MS. ISABEL TANENBAUM LMHC, CAP

Addiction Substance Use Disorder

Jacksonville, Florida

Provider NPI: 1326085283

Provider Information:
MS. ISABEL  TANENBAUM LMHC, CAP
Gender: F
Sole Proprietor


Practice Location:
2950 HALCYON LN SUITE 701 JACKSONVILLE, FL 32223 US
Tel: 904-292-2407  Fax: 904-292-2409

Business Mailing Address:
2950 HALCYON LN SUITE 701 JACKSONVILLE, FL 32223 US
Tel: 904-292-2407  Fax: 904-292-2409

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
FLCAP2184
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
FLMH5265
N101YP2500XBehavioral Health & Social Service Providers
Counselor
FLMH5265

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELDZ978401
VALUE OPTIONS46084001
AETNA PROVIDER782525501
CIGNA208185801
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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