GREGORY LOUIS WYATT

JACKSONVILLE, FL
NPI1134487713
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH6521)
Enumeration Date2012-05-02
Last Update Date2012-05-02
Business Address
-- GREGORY LOUIS WYATT LMHC
6622 BANBURY RD
JACKSONVILLE, FL 32266
Phone number: 904-743-8258
Mailing Address
-- GREGORY LOUIS WYATT LMHC
6622 BANBURY RD.
JACKSONVILLE, FL 32211
Phone number: 904-743-8258