Individual
MR. CHARLES DEAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
12400 YELLOW BLUFF RD STE 107, JACKSONVILLE, FL 32226-5070
(904) 254-8421
Mailing address
12400 YELLOW BLUFF RD STE 107, JACKSONVILLE, FL 32226-5070
(904) 254-8421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11471
FL
Other
Enumeration date
10/30/2021
Last updated
11/11/2021
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