Individual
AMRA MESIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5776 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32207-8046
(904) 448-4700
Mailing address
9800 TOUCHTON RD APT 312, JACKSONVILLE, FL 32246-8301
(904) 537-6297
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH19454
FL
Other
Enumeration date
04/02/2018
Last updated
07/16/2021
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