ANTWAN NICHOLAS

JACKSONVILLE, FL
NPI1740740216
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-03-21
Last Update Date2019-03-21
Business Address
ANTWAN NICHOLAS
1225 W BEAVER ST STE 205
JACKSONVILLE, FL 32204-1416
Phone number: 904-712-3540
Mailing Address
ANTWAN NICHOLAS
1225 W BEAVER ST STE 205
JACKSONVILLE, FL 32204-1416
Phone number: 904-712-3540