Individual
ANIXA ELENA CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACP
Contact information
Practice address
820 PRUDENTIAL DR, SUITE 510, JACKSONVILLE, FL 32207-8210
(904) 376-3800
(904) 396-8966
Mailing address
PO BOX 44230, JACKSONVILLE, FL 32231-4230
(904) 376-3800
(904) 376-3998
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH11778
FL
Other
Enumeration date
04/16/2013
Last updated
12/29/2016
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