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Organization
MY THERAPIST SHANNON LLC
Active
Organization
MY THERAPIST SHANNON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON MCFAULS LMHC (OWNER)
(904) 513-0379
Entity
Organization
Contact information
Practice address
1540 NAVAHO AVE, JACKSONVILLE, FL 32210-1134
(904) 513-0379
Mailing address
1540 NAVAHO AVE, JACKSONVILLE, FL 32210-1134
(904) 513-0379
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/21/2025
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