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Individual

MS. ANGELA LYNN HAINSWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
1849 DEAN RD, SUITE #2402, JACKSONVILLE, FL 32216-4520
(904) 674-8635
(188) 897-2540
Mailing address
1849 DEAN RD, SUITE #2402, JACKSONVILLE, FL 32216-4520
(904) 674-8635
(188) 897-2540

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH10995
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009868500
FL
01
1326470147
NPI FOR ANGELA HAINSWORTH
FL
01
1578990784
NPI FOR NORTH FLORIDA CENTER FOR COUNSELING, LLC
FL
Enumeration date
08/02/2013
Last updated
12/08/2016
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