Individual provider · Type 1 NPI
Edisa Shirley, PhD, LMHC
Mental Health Counselor · Jacksonville, FL
NPI number
1700609344
Active
Practice location
538 Candlebark Dr
Jacksonville, FL 32225-5358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH17531 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1700609344
Edisa Shirley, PhD, LMHC's National Provider Identifier is 1700609344, issued on Nov 4, 2024. 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 4, 2024.