Individual
JILLIAN REGISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
463142 STATE ROAD 200, YULEE, FL 32097-5554
(904) 225-8280
(904) 225-8232
Mailing address
463142 STATE ROAD 200, YULEE, FL 32097-5554
(904) 225-8280
(904) 225-8232
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3046
FL
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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