ISHMAEL EAVES FARRA

JACKSONVILLE, FL
NPI1336616382
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2018-10-29
Last Update Date2018-10-29
Business Address
ISHMAEL EAVES FARRA MA
6639 SOUTHPOINT PKWY STE 108
JACKSONVILLE, FL 32216-8042
Phone number: 904-438-7640
Mailing Address
ISHMAEL EAVES FARRA MA
6639 SOUTHPOINT PKWY STE 108
JACKSONVILLE, FL 32216-8042
Phone number:
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