Individual
RACHEL SHAW-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3599 UNIVERSITY BLVD S STE 1200, JACKSONVILLE, FL 32216-4288
(904) 712-3540
(904) 775-3570
Mailing address
3599 UNIVERSITY BLVD S STE 1200, JACKSONVILLE, FL 32216-4288
(904) 712-3540
(904) 775-3570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016986100
—
FL
Enumeration date
08/13/2010
Last updated
02/07/2026
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