Talbot, Kristina Jeffries

Talbot, Kristina Jeffries is an sole proprietor health care provider with primary practice located at 856 Orange Blossom Dr , Melbourne FL 32935-6951. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Talbot, Kristina Jeffries can be contacted via phone (321) 431-9334.

Contact Information

Primary practice address
856 Orange Blossom Dr Melbourne FL 32935-6951
Phone: (321) 431-9334
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ADC-803582 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW10005 Florida

Profile Details

NPI number 1861770109
LBN Legal business name Talbot, Kristina Jeffries
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2011
Last updated Mar 1st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861770109 NPPES
Florida MEDICAID 003938900

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