Individual
NICOLEEN OCHOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 E ADAMS ST, JACKSONVILLE, FL 32202-1902
(904) 334-5041
Mailing address
1725 OAKHURST AVE, JACKSONVILLE, FL 32208-3200
(904) 765-0665
(904) 765-0664
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/08/2018
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