Individual
DAVID ROBERT JEDRZIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, LMFT
Contact information
Practice address
6282 DUPONT STATION CT E STE 2, JACKSONVILLE, FL 32217-2515
(904) 614-4190
Mailing address
6282 DUPONT STATION CT E STE 2, JACKSONVILLE, FL 32217-2515
(904) 614-4190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH19172
FL
106H00000X
Marriage & Family Therapist
Primary
MT4096
FL
Other
Enumeration date
05/13/2021
Last updated
06/24/2024
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