Individual provider · Type 1 NPI

Louisa Etheredge, M.ED. IN COUN. ED.

Mental Health Counselor · Jacksonville, FL

NPI number 1457454779 Active

Practice location

5776 Saint Augustine Rd
Jacksonville, FL 32207-8030

Call (904) 448-4700 Map

Fax (904) 448-4717

Mailing address

837 Brookstone Ct
Jacksonville, FL 32259-4321

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH 3352 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1457454779

Louisa Etheredge, M.ED. IN COUN. ED.'s National Provider Identifier is 1457454779, issued on Sep 6, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 8, 2007.