Individual
AMBRIA JACQUELYN PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 HARGROVE GRADE STE 1E, PALM COAST, FL 32137-5116
(904) 315-9248
(386) 309-2350
Mailing address
1 HARGROVE GRADE STE 1E, PALM COAST, FL 32137-5116
(904) 315-9248
(386) 309-2350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW12139
FL
Other
Enumeration date
02/10/2012
Last updated
04/21/2025
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