Individual
BARIKA GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, NCC, CCM
Contact information
Practice address
7235 BENTLEY RD STE 106, JACKSONVILLE, FL 32256-7506
(904) 413-1379
(904) 677-7886
Mailing address
7235 BENTLEY RD STE 106, JACKSONVILLE, FL 32256-7506
(904) 413-1379
(904) 677-7886
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
MH9952
FL
101YP2500X
Professional Counselor
MH9952
FL
171M00000X
Case Manager/Care Coordinator
4210365
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006491400
—
FL
Enumeration date
05/29/2008
Last updated
02/20/2024
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