Individual
ANNETTE MARIE THARP-WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11512 LAKE MEAD AVE, JACKSONVILLE, FL 32256-9680
(904) 646-0054
(904) 646-0630
Mailing address
11512 LAKE MEAD AVE, JACKSONVILLE, FL 32256-9680
(904) 646-0054
(904) 646-0630
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH16342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174665178
—
FL
Enumeration date
10/11/2018
Last updated
11/19/2018
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