Individual provider · Type 1 NPI

Amanda Rose Iannotti, LMHC

Mental Health Counselor · Jacksonville, FL

NPI number 1679042535 Active

Practice location

3333 W 20th St
Jacksonville, FL 32254-1703

Fax (904) 695-2465

Mailing address

PO Box 19249
Jacksonville, FL 32245-9249

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH16379 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1679042535

Amanda Rose Iannotti, LMHC's National Provider Identifier is 1679042535, issued on Nov 20, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 20, 2018.