Individual
AMBER CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCCC, CCLC
Contact information
Practice address
6159 CLEARSKY DR, JACKSONVILLE, FL 32258-8431
(904) 661-9052
Mailing address
13720 OLD SAINT AUGUSTINE RD # 8-322, JACKSONVILLE, FL 32258-7414
(904) 661-9052
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
221700000X
Art Therapist
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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