Mr Charles Quinntin Laprade Iv, MS/EDS - Counselor in Jacksonville, FL

Mr Charles Quinntin Laprade Iv, MS/EDS is a Counselor - Mental Health based in Jacksonville, Florida. Mr Charles Quinntin Laprade Iv is licensed to practice in Florida (license number MH11416) and his current practice location is 5991 Chester Ave, #104, Jacksonville, Florida. He can be reached at his office (for appointments etc.) via phone at (904) 448-1992.

NPI number for Mr Charles Quinntin Laprade Iv is 1659615110 and his current mailing address is Po Box 56197, Jacksonville, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659615110.

Contact Information

Mr Charles Quinntin Laprade Iv, MS/EDS
5991 Chester Ave, #104,
Jacksonville, FL 32217-2269
(904) 448-1992
(904) 448-8866

Map and Direction


Healthcare Provider's Profile

Full NameMr Charles Quinntin Laprade Iv
GenderMale
SpecialityCounselor - Mental Health
Location5991 Chester Ave, Jacksonville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659615110
  • Provider Enumeration Date: 11/21/2012
  • Last Update Date: 11/21/2012

Medical Identifiers

Medical identifiers for Mr Charles Quinntin Laprade Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659615110NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health MH11416 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Charles Quinntin Laprade Iv is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Charles Quinntin Laprade Iv, MS/EDS
Po Box 56197,
Jacksonville, FL 32241-6197

Ph: (904) 448-1992
Mr Charles Quinntin Laprade Iv, MS/EDS
5991 Chester Ave, #104,
Jacksonville, FL 32217-2269

Ph: (904) 448-1992

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