Individual provider · Type 1 NPI

Daniel Pridham

Counselor · Jacksonville, FL

NPI number 1972436129 Active

Practice location

4427 Emerson St Ste 4
Jacksonville, FL 32207-4960

Fax (904) 346-0837

Mailing address

379 Tidewater Dr
Jacksonville, FL 32211-7226

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XIMH28776 (FL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1972436129

Daniel Pridham's National Provider Identifier is 1972436129, issued on Jun 6, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 11, 2026.