Individual
MS. AMY BUCCIARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,ATR-BC, LMHC, NCC
Contact information
Practice address
1548 THE GREENS WAY STE 4, JACKSONVILLE BEACH, FL 32250-2468
(904) 201-2122
Mailing address
3948 3RD ST S # 282, JACKSONVILLE BEACH, FL 32250-5847
(904) 201-2122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH1152
FL
101YM0800X
Mental Health Counselor
MH11552
FL
221700000X
Art Therapist
10-037
—
Other
Enumeration date
09/19/2022
Last updated
10/31/2022
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