Individual provider · Type 1 NPI
Tia Danielle Hepburn
Mental Health Counselor · Jacksonville, FL
NPI number
1114793064
Active
Practice location
8291 Dames Point Crossing Blvd N Apt 4310
Jacksonville, FL 32277-3847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | CBHT.0100424 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1114793064
Tia Danielle Hepburn's National Provider Identifier is 1114793064, issued on Dec 1, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 1, 2023.