Individual
STACIA MCCAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD/N
Contact information
Practice address
2380 3RD ST S, SUITE #1, JACKSONVILLE BEACH, FL 32250-4072
(904) 270-1234
Mailing address
2380 3RD ST S, SUITE #1, JACKSONVILLE BEACH, FL 32250-4072
(904) 270-1234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH21568
FL
133V00000X
Registered Dietitian
Primary
ND 8075
FL
Other
Enumeration date
02/28/2017
Last updated
02/03/2022
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