Individual provider · Type 1 NPI

Stephen Clinton Van Buren

Mental Health Counselor · Jacksonville, FL

NPI number 1790336162 Active

Practice location

3027 San Diego Rd
Jacksonville, FL 32207-3691

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1790336162

Stephen Clinton Van Buren's National Provider Identifier is 1790336162, issued on Sep 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 Sep 26, 2022.