Individual
ALVIN PENIX JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CBHCM
Contact information
Practice address
555 STOCKTON ST, JACKSONVILLE, FL 32204-2534
(904) 387-4661
Mailing address
555 STOCKTON ST, JACKSONVILLE, FL 32204-2534
(904) 387-4661
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
SW21900
FL
Other
Enumeration date
08/16/2021
Last updated
12/07/2023
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