Individual provider · Type 1 NPI
Kassidy Hodge
Counselor · Jacksonville, FL
NPI number
1427603497
Active
Practice location
1225 W Beaver St Ste 210
Jacksonville, FL 32204-1416
Fax (904) 775-3570
Mailing address
5347 Bentpine Cove Rd
Jacksonville, FL 32224-0838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3 other providers at this address
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About NPI 1427603497
Kassidy Hodge's National Provider Identifier is 1427603497, issued on Aug 7, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 7, 2019.