Individual provider · Type 1 NPI

Antwan Nicholas

Mental Health Counselor · Jacksonville, FL

NPI number 1740740216 Active

Practice location

1225 W Beaver St Ste 205
Jacksonville, FL 32204-1416

Fax (904) 775-3570

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1740740216

Antwan Nicholas's National Provider Identifier is 1740740216, issued on Mar 21, 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 Mar 21, 2019.