Individual
ROBERT SHACKELFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 CESERY BLVD, JACKSONVILLE, FL 32211-5674
(904) 333-7927
Mailing address
97346 BLUFF VIEW CIR, YULEE, FL 32097-1917
(904) 945-7867
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3360
FL
Other
Enumeration date
05/19/2015
Last updated
07/21/2022
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