Individual
DIETANGAL DREWMELLA HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS., CAP, CMHP,
Contact information
Practice address
7240 LEM TURNER CIR, JACKSONVILLE, FL 32208-6801
(904) 924-1551
(904) 924-1556
Mailing address
7240 LEM TURNER CIR, JACKSONVILLE, FL 32208-6801
(904) 924-1551
(904) 924-1556
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4176
FL
101YM0800X
Mental Health Counselor
50885
FL
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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