AMANDA BLEAK

JACKSONVILLE, FL
NPI1679905228
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH11952)
Enumeration Date2013-08-06
Last Update Date2013-08-06
Business Address
-- AMANDA BLEAK
4203 SOUTHPOINT BLVD
JACKSONVILLE, FL 32216-6164
Phone number: 904-296-1055
Mailing Address
-- AMANDA BLEAK
4203 SOUTHPOINT BLVD
JACKSONVILLE, FL 32216-6164
Phone number: 904-296-1055