Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACOB A WIDDEKIND, MS
Active Sole ProprietorMR. JACOB A WIDDEKIND, MS is a Mental Health Counselor healthcare provider located in HOLLYWOOD, Florida. NPI 1720649627 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · HOLLYWOOD, FL
Registration Details
- NPI Number
- 1720649627
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2019 (7.1249209680202 yrs)
- Last Updated
- Jun 22, 2019
- License
-
MH17127 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2421 HOLLYWOOD BLVD STE 1AHOLLYWOOD, FL, 330206605Browse FL providers · Browse ZIP 33020
- Phone
- 9543690570
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in HOLLYWOOD, FL
| Name | Credential | NPI |
|---|---|---|
| DR. ANDREW KATZ | PHD | 1881656080 |
| MS. TANYA DI GERONIMO | LICENSED MENTAL HEAL | 1538125075 |
| MRS. GILDA SCHAFFER | PSYD, LCPC, LMHC | 1962468017 |
| DR. EMILY KRESTOW | PHD | 1760439806 |
| DOLORES CRISTINA DE LA CUESTA | MS | 1184665481 |
| DR. YOLANDA ELAINE SMITH | PH.D. | 1255409033 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.