Individual provider · Type 1 NPI

Blair Rae-Nicole Anderson

Addiction (Substance Use Disorder) Counselor · Jacksonville, FL

NPI number 1225973126 Active

Practice location

590 Ellis Rd S Bldg 4
Jacksonville, FL 32254-3555

Call (877) 284-7074 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1225973126

Blair Rae-Nicole Anderson's National Provider Identifier is 1225973126, issued on Apr 20, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 20, 2026.