Individual provider · Type 1 NPI

Amanda Bleak

Mental Health Counselor · Jacksonville, FL

NPI number 1679905228 Active

Practice location

4203 Southpoint Blvd
Jacksonville, FL 32216-6164

Fax (904) 296-1953

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH11952 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1679905228

Amanda Bleak's National Provider Identifier is 1679905228, issued on Aug 6, 2013. 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 6, 2013.