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Individual

MR. CEDRIC SINGLETARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
IMH,MCAP, ICADC

Contact information

Practice address
3636 UNIVERSITY BLVD S STE A9, JACKSONVILLE, FL 32216-4209
(904) 551-4953
(904) 683-5678
Mailing address
11109 STIRLING CT, JACKSONVILLE, FL 32221-3926
(904) 329-0024
(904) 683-5678

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5444
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
MCAP100381
FL
101YM0800X
Mental Health Counselor
IMH20336
FL
171M00000X
Case Manager/Care Coordinator
Primary
CBHCMS100798
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063800100
FL
Enumeration date
12/19/2013
Last updated
03/24/2021
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