Individual provider · Type 1 NPI

Stanvonna Shootes

Mental Health Counselor · Jacksonville, FL

NPI number 1003225970 Active

Practice location

435 Clark Rd, Suite 107
Jacksonville, FL 32218-5596

Call (904) 765-0665 Map

Fax (904) 765-0664

Mailing address

6535 Sunset Dr
Jacksonville, FL 32208-4637

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003225970

Stanvonna Shootes's National Provider Identifier is 1003225970, issued on Aug 5, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 5, 2014.