Individual
JENNA MICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(904) 493-7744
Mailing address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
06/01/2025
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