Individual
MS. JULIE D EBERWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
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
101YA0400X
Addiction (Substance Use Disorder) Counselor
228
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MH9903
FL
101YM0800X
Mental Health Counselor
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164581633
—
FL
Enumeration date
01/12/2009
Last updated
03/09/2017
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