MEDICARE: MS. JAN K MISKEL LMHC,CAP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH8285	FL

General Provider Information

NPI Number	:	1487844759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JAN K MISKEL LMHC,CAP

Provider Business Mailing Address
First Line	:	4422 E COLUMBUS DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33605-3233
Country	:	US
Telephone Number	:	813-231-1340
Fax Number	:	813-630-0082

Provider Business Practice Location Address
First Line	:	7402 N 56TH ST
Second Line	:	BLDG 600
City	:	TAMPA
State	:	FL
Zip	:	33617-7733
Country	:	US
Telephone Number	:	813-984-0909
Fax Number	:	813-984-8374

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2007
Last Update Date	:	08/01/2007

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