Individual
MR. CHARLES QUINNTIN LAPRADE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S./ED.S
Contact information
Practice address
5991 CHESTER AVE, #104, JACKSONVILLE, FL 32217-2269
(904) 448-1992
(904) 448-8866
Mailing address
PO BOX 56197, JACKSONVILLE, FL 32241-6197
(904) 448-1992
(904) 448-8866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH11416
FL
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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