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Individual

CHAUNTAY BUNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAC

Contact information

Practice address
5734 VILLAGE POND CIR, JACKSONVILLE, FL 32222-1161
(417) 771-2559
Mailing address
5734 VILLAGE POND CIR, JACKSONVILLE, FL 32222-1161
(417) 771-2559

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
05/04/2023
Last updated
05/04/2023
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