Individual
MRS. AMANDA DAVIS CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
786 BLANDING BLVD STE 120, ORANGE PARK, FL 32065-6728
(904) 945-7749
(904) 877-3466
Mailing address
786 BLANDING BLVD STE 120, ORANGE PARK, FL 32065-6728
(904) 945-7749
(904) 877-3466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH19227
FL
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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