Individual provider · Type 1 NPI

Jack Mathew Davis, IMH

Mental Health Counselor · Jacksonville, FL

NPI number 1255197356 Active

Practice location

820 Prudential Dr Ste 510
Jacksonville, FL 32207-8207

Call (904) 376-3800 Map

Fax (904) 390-7398

Mailing address

PO Box 748519
Atlanta, GA 30374-8519

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH24995 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1255197356

Jack Mathew Davis, IMH's National Provider Identifier is 1255197356, issued on Feb 26, 2024. 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 26, 2024.