Individual
MS. CHALEAH MARTIA MYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2946 W 11TH ST, JACKSONVILLE, FL 32254-1925
(904) 578-3362
Mailing address
2946 W 11TH ST, JACKSONVILLE, FL 32254-1925
(904) 578-3362
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
03/31/2026
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