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Individual

MS. CARISSA LYNETTE DORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
12400 YELLOW BLUFF RD STE 107, JACKSONVILLE, FL 32226-5070
(904) 339-5937
Mailing address
12400 YELLOW BLUFF RD STE 107, JACKSONVILLE, FL 32226-5070
(904) 339-5937

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13256
FL

Other

Enumeration date
07/17/2012
Last updated
07/21/2022
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