Individual provider · Type 1 NPI

Medea Michelle Dennis

Mental Health Counselor · Jacksonville, FL

NPI number 1023651502 Active

Practice location

1725 Oakhurst Ave
Jacksonville, FL 32208-3200

Fax (904) 765-0664

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1023651502

Medea Michelle Dennis's National Provider Identifier is 1023651502, issued on Oct 28, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 28, 2019.