Individual
DARIC STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9521 SHELLIE RD STE 13, JACKSONVILLE, FL 32257-6174
(904) 930-4244
(904) 930-4244
Mailing address
9838 OLD BAYMEADOWS RD # 267, JACKSONVILLE, FL 32256-8101
(904) 930-4244
(904) 930-4244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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