Individual
MARCUS WILLIAM ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
4076 MIZNER CT, JACKSONVILLE, FL 32217-4300
(904) 614-8070
Mailing address
4076 MIZNER CT, JACKSONVILLE, FL 32217-4300
(904) 614-8070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1712
FL
106H00000X
Marriage & Family Therapist
Primary
1179
FL
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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