Individual provider · Type 1 NPI

Matthew Travis South

Mental Health Counselor · Jacksonville, FL

NPI number 1831785401 Active

Practice location

3027 San Diego Rd
Jacksonville, FL 32207-3691

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1831785401

Matthew Travis South's National Provider Identifier is 1831785401, issued on Dec 17, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 17, 2020.