person
Antwan Nicholas
Mental Health Counselor in Jacksonville, Florida
NPI 1740740216

Antwan Nicholas is a Mental Health Counselor based in Jacksonville, FL and is specialized in Mental Health. Antwan Nicholas practices in Jacksonville, FL. The NPI Number for Antwan Nicholas is 1740740216 and holds a License No. (Florida).

The current practice location address for Antwan Nicholas is 1225 W Beaver St Ste 205, Jacksonville, FL and can be reached out via phone at 904-712-3540 and via fax at 904-775-3570.

Location: 1225 W Beaver St Ste 205, Jacksonville, FL, 32204-1416
person
Provider Profile Details
NPI Number
1740740216
Provider Name
Antwan Nicholas
Credential
Provider Entity Type
Individual
Gender
Male
Address
1225 W Beaver St Ste 205, Jacksonville, FL, 32204-1416
Phone Number
904-712-3540
Fax Number
904-775-3570
Provider Enumeration Date
03/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1225 W Beaver St Ste 205
City
State
Zip
32204-1416
Phone Number
904-712-3540
Fax Number
904-775-3570
person
Provider Business Mailing Address Details
Address
1225 W Beaver St Ste 205
City
State
Zip
32204-1416
Phone Number
904-712-3540
Fax Number
904-775-3570
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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