| Jessica Carter O'brien | |
|
13000 Sawgrass Village Cir Ste 11 Ponte Vedra Beach FL 32082-5016 | |
| (904) 280-8555 | |
| (904) 285-8562 |
| Full Name | Jessica Carter O'brien |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13000 Sawgrass Village Cir, Ponte Vedra Beach, Florida |
| Authorized Official Name and Position | Jessica Carter O'brien (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 9043491710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Carter O'brien 13000 Sawgrass Village Cir Ste 11 Ponte Vedra Beach FL 32082-5016 Ph: (904) 280-8555 | Jessica Carter O'brien 13000 Sawgrass Village Cir Ste 11 Ponte Vedra Beach FL 32082-5016 Ph: (904) 280-8555 |
| NPI Number | 1790162535 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 04/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790162535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH10541 (Florida) | Primary |
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