Individual
BRIDGETT PRINCESS WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6639 SOUTHPOINT PKWY STE 108, JACKSONVILLE, FL 32216-8042
(904) 438-7640
(904) 438-7656
Mailing address
488 SKATE RD, ATLANTIC BEACH, FL 32233-3822
(904) 535-4154
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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