Individual
ANNA RENE' MORRIS BLACKSHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1903 ISLAND WALKWAY, FERNANDINA BEACH, FL 32034-4797
(904) 277-0027
(407) 867-6261
Mailing address
1903 ISLAND WALKWAY, FERNANDINA BEACH, FL 32034-4797
(904) 277-0027
(407) 867-6261
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH12881
FL
101YM0800X
Mental Health Counselor
Primary
MH14583
FL
Other
Enumeration date
07/15/2015
Last updated
03/06/2017
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