Individual
MARK PAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCCC
Contact information
Practice address
4826 BAYMEADOWS RD, JACKSONVILLE, FL 32217-4706
(904) 580-5755
Mailing address
4826 BAYMEADOWS RD, JACKSONVILLE, FL 32217-4706
(904) 580-5755
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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