Individual
REBECCA MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
13500 SUTTON PARK DR S, SUITE 802, JACKSONVILLE, FL 32224-5251
(904) 735-8730
Mailing address
13500 SUTTON PARK DR S, SUITE 802, JACKSONVILLE, FL 32224-5251
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3283
FL
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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