Individual
PRISCILLA CARLSGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
10175 FORTUNE PKWY UNIT 902, JACKSONVILLE, FL 32256-6755
(904) 420-7700
Mailing address
1107 TALBOT AVE, JACKSONVILLE, FL 32205-5312
(561) 339-4293
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT3432
FL
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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