Individual
CHARLOTTE E BLANDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D
Contact information
Practice address
10959 SAWTOOTH OAK CT, JACKSONVILLE, FL 32218-6997
(904) 240-8633
Mailing address
103 CENTURY 21 DR STE 201, JACKSONVILLE, FL 32216-9295
(904) 872-8068
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH17180
FL
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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