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Organization
MELISSA D. FENTON, PA
Active
Organization
MELISSA D. FENTON, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FENTON (PRESIDENT)
(904) 992-9930
Entity
Organization
Contact information
Practice address
13500 SUTTON PARK DR S STE 203, JACKSONVILLE, FL 32224-5291
(904) 992-9930
Mailing address
13500 SUTTON PARK DR S STE 203, JACKSONVILLE, FL 32224-5291
(904) 992-9930
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH8881
FL
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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