SHANTHALITTA SEALS WALLACE

JACKSONVILLE, FL
NPI1659848539
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH15387)
Enumeration Date2018-10-29
Last Update Date2018-10-29
Business Address
SHANTHALITTA SEALS WALLACE LMHC
9617 WATERSHED DR E
JACKSONVILLE, FL 32220-0906
Phone number: 860-496-0909
Mailing Address
SHANTHALITTA SEALS WALLACE LMHC
9617 WATERSHED DR E
JACKSONVILLE, FL 32220-0906
Phone number: