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Jarvis Wright SR.
Mental Health Counselor in Palm Coast, Florida
NPI 1902569007

Jarvis Wright SR. is a Mental Health Counselor based in Palm Coast, FL and is specialized in Mental Health. Jarvis Wright SR. practices in Palm Coast, FL. The NPI Number for Jarvis Wright SR. is 1902569007 and holds a License No. (Florida).

The current practice location address for Jarvis Wright SR. is 23 Rybar Ln, Palm Coast, FL and can be reached out via phone at 386-316-3004.

Location: 23 Rybar Ln, Palm Coast, FL, 32164-6445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902569007
Provider Name
Jarvis Wright SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
23 Rybar Ln, Palm Coast, FL, 32164-6445
Phone Number
386-316-3004
Fax Number
Provider Enumeration Date
10/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
23 Rybar Ln
City
Palm Coast
State
Florida
Zip
32164-6445
Phone Number
386-316-3004
Fax Number
person
Provider Business Mailing Address Details
Address
23 Rybar Ln
City
Palm Coast
State
Florida
Zip
32164-6445
Phone Number
386-316-3004
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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