Individual
AMY DISCEPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4378 HEATHFORD CT, JACKSONVILLE, FL 32224-2243
(504) 237-3877
Mailing address
4378 HEATHFORD CT, JACKSONVILLE, FL 32224-2243
(504) 237-3877
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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