Individual provider · Type 1 NPI

Theresa L. Awatha

Mental Health Counselor · Jacksonville, FL

NPI number 1548817331 Active

Practice location

1725 Oakhurst Ave
Jacksonville, FL 32208-3200

Fax (904) 765-0664

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1548817331

Theresa L. Awatha's National Provider Identifier is 1548817331, issued on Aug 26, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 26, 2019.