Jeanna Felicita Houston
Counselor, Mental Health in Jacksonville, FL. Individual provider (NPI-1).
NPI number1164059648
StatusActive
Last updated in NPPESMar 25, 2020
Details
- NPI
- 1164059648
- Entity type
- Individual (NPI-1)
- Name
- Jeanna Felicita Houston
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2020
- Certification date
- Mar 25, 2020
- Last updated
- Mar 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | mh16852 | FL | Yes |
Practice location
3810-3 Williamsburg Park BlvdJacksonville, FL 32257-9220
Phone 904-419-6102 · Fax 904-739-2153
Mailing address
3810-3 Williamsburg Park BlvdJacksonville, FL 32257-9220
Phone 904-419-6102 · Fax 904-739-2153
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