Female

Mrs. Evonne Nelson-smith LPC

Mental Health Counselor in Jacksonville, FL(View on Map)

Full Name

Mrs. Evonne Nelson-smith LPC

NPI Number

1306220850

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/15/2015

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Georgia
Georgia

License Number

LPC010226
APC004337

Contact
Information

Purpose

Mailing
Location

Address

12546 WEEPING BRANCH CIR
12546 WEEPING BRANCH CIR

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32218-9604
32218-9604

Country

US
US

Telephone Number

(678) 787-8249
(678) 787-8249

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/20/2020

Provider Address

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