Individual provider · Type 1 NPI

Kelly Schock Weidner, LMHC

Mental Health Counselor · Jacksonville, FL

NPI number 1477827111 Active

Practice location

5776 Saint Augustine Rd
Jacksonville, FL 32207-8030

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1477827111

Kelly Schock Weidner, LMHC's National Provider Identifier is 1477827111, issued on Feb 27, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 9, 2015.