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Individual

CHRISTINE DE JESUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., ED.S.

Contact information

Practice address
10175 FORTUNE PKWY, SUITE 1102, JACKSONVILLE, FL 32256-6746
(904) 525-6373
Mailing address
1700 MINDANAO DR APT 507, JACKSONVILLE, FL 32246-8874
(904) 525-6373

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/30/2009
Last updated
08/05/2010
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