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
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | IMH28776 (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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Other counselor providers in Jacksonville
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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.