Individual
KARLA TANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 STOCKTON ST, JACKSONVILLE, FL 32204-2534
(904) 361-5018
Mailing address
555 STOCKTON ST, JACKSONVILLE, FL 32204-2534
(904) 361-5018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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