Individual
MR. CHARLES VAUGHN KEREKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT, LMHC, CAP
Contact information
Practice address
NAVAL HOSPITAL JACKSONVILLE SARP, 2034 TATUM AVENUE, JACKSONVILLE, FL 32214-0001
(904) 542-3473
(904) 542-2932
Mailing address
NAVAL HOSPITAL JACKSONVILLE, 2080 CHILD STREET, JACKSONVILLE, FL 32214-0001
(904) 542-3473
(904) 542-2932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH2406
FL
101YP2500X
Professional Counselor
MH2406
FL
106H00000X
Marriage & Family Therapist
Primary
MT2093
FL
Other
Enumeration date
07/04/2006
Last updated
04/08/2024
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