Individual
MR. BRIAN BOATWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BACHELOR LEVEL
Contact information
Practice address
435 CLARK RD STE 107, JACKSONVILLE, FL 32218-5558
(904) 765-0665
Mailing address
891 NE 200TH AVE, WILLISTON, FL 32696-5240
(904) 765-0665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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