Individual provider · Type 1 NPI

Kellie Elizabeth Anderson

Mental Health Counselor · Jacksonville, FL

NPI number 1073005500 Active

Practice location

4131 University Blvd S Ste 15
Jacksonville, FL 32216-4346

Mailing address

145 Solano Cay Cir
Ponte Vedra Beach, FL 32082-2244

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073005500

Kellie Elizabeth Anderson's National Provider Identifier is 1073005500, issued on May 31, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on May 31, 2018.