Individual
ANDREA BRAGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4651 SALISBURY RD STE 400, JACKSONVILLE, FL 32256-6187
(646) 941-7645
(929) 596-7897
Mailing address
555 MOULTRIE LANDING BLVD APT 6106, ST AUGUSTINE, FL 32086-5984
(207) 844-0503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH18130
FL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
CC6599
ME
Other
Enumeration date
09/22/2017
Last updated
10/15/2024
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