Individual
JOANNE LANDRUM PRATT-DANNALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMFT CLINICAL MEM
Contact information
Practice address
2116 PARK STREET, JACKSONVILLE, FL 32204
(904) 387-3234
(904) 387-3239
Mailing address
2116 PARK STREET, JACKSONVILLE, FL 32204
(904) 387-3234
(904) 387-3239
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 1011
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4794
PIN
FL
01
—
Z3284
BCBS
FL
Enumeration date
04/04/2007
Last updated
07/08/2007
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