Individual provider · Type 1 NPI

Anna Miriam Agatina Wyke, MA

Mental Health Counselor · Jacksonville, FL

NPI number 1023674579 Active

Practice location

10151 Deerwood Park Blvd # 200
Jacksonville, FL 32256-0566

Call (904) 704-2527 Map

Mailing address

2223 Astor St Unit 7
Orange Park, FL 32073-5668

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH18808 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1023674579

Anna Miriam Agatina Wyke, MA's National Provider Identifier is 1023674579, issued on May 9, 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 Feb 19, 2021.