Amanda Groleau
Counselor, Mental Health in Jacksonville, FL. Individual provider (NPI-1).
NPI number1619785409
StatusActive
Last updated in NPPESDec 25, 2024
Details
- NPI
- 1619785409
- Entity type
- Individual (NPI-1)
- Name
- Amanda Groleau
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 25, 2024
- Certification date
- Dec 25, 2024
- Last updated
- Dec 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3995 Hunt Club Rd # 2Jacksonville, FL 32224-8416
Phone 770-548-0849
Mailing address
12501 Running River Rd SJacksonville, FL 32225-5561
Phone 770-548-0849
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