Yolla N Baddour, LMHC
Counselor, Mental Health in Jacksonville, FL. Individual provider (NPI-1).
NPI number1770051419
StatusActive
Last updated in NPPESFeb 6, 2024
Details
- NPI
- 1770051419
- Entity type
- Individual (NPI-1)
- Name
- Yolla N Baddour
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 12, 2018
- Certification date
- Feb 6, 2024
- Last updated
- Feb 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 18668 | FL | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – |
Practice location
10035 Bengal Fox DrJacksonville, FL 32222-2895
Phone 516-306-6497
Mailing address
10035 Bengal Fox DrJacksonville, FL 32222-2895
Phone 516-306-6497
Other practice locations
10151 Deerwood Park Blvd Ste 250
Jacksonville, FL 32256-0566
Jacksonville, FL 32256-0566
Phone 904-704-2527
5776 Saint Augustine Rd
Jacksonville, FL 32207-8046
Jacksonville, FL 32207-8046
Phone 904-801-9553 · Fax 516-306-6497
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