Individual provider · Type 1 NPI

Derenda Denise Edmondson

Mental Health Counselor · Jacksonville, FL

NPI number 1831276682 Active · reactivated Jul 9, 2019

Practice location

9951 Atlantic Blvd, Suite 126
Jacksonville, FL 32225-6584

Call (904) 724-9960 Map

Fax (904) 714-0566

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH7310 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1831276682

Derenda Denise Edmondson's National Provider Identifier is 1831276682, issued on Nov 1, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 9, 2019.