Individual provider · Type 1 NPI

Jennifer Dawn Divita, M.ED

Mental Health Counselor · Jacksonville, FL

NPI number 1255650370 Active

Practice location

1100 Cesery Blvd
Jacksonville, FL 32211-5674

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

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About NPI 1255650370

Jennifer Dawn Divita, M.ED's National Provider Identifier is 1255650370, issued on May 28, 2010. 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 28, 2010.