Individual
ITZEL MARIA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5560 GREATPINE LN N, JACKSONVILLE, FL 32244-5297
(904) 414-0261
Mailing address
7055 BLANDING BLVD # 441051, JACKSONVILLE, FL 32244-4422
(904) 414-0261
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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