person
Mrs. Tracy Aidan Bohannon, MED
Mental Health Counselor in Jacksonville, Florida
NPI 1023207453

Tracy Aidan Bohannon is a Mental Health Counselor based in Jacksonville, FL and is specialized in Mental Health. Tracy Aidan Bohannon practices in Jacksonville, FL and has the professional credentials of MED. The NPI Number for Tracy Aidan Bohannon is 1023207453 and holds a License No. (Florida).

The current practice location address for Tracy Aidan Bohannon is 4720 Salisbury Rd, Jacksonville, FL and can be reached out via phone at 904-206-8405.

Location: 4720 Salisbury Rd, Jacksonville, FL, 32218-2167
person
Provider Profile Details
NPI Number
1023207453
Provider Name
Tracy Aidan Bohannon
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
4720 Salisbury Rd, Jacksonville, FL, 32218-2167
Phone Number
904-206-8405
Fax Number
Provider Enumeration Date
10/22/2007
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
4720 Salisbury Rd
City
State
Zip
32256-6101
Phone Number
904-206-8405
Fax Number
person
Provider Business Mailing Address Details
Address
4720 Salisbury Rd
City
State
Zip
32256-6101
Phone Number
904-206-8405
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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