Doctor Name: | MS. SARA REBECCA ANDERSON |
NPI Number: | 1689825911 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH7609 |
Business Practice Address: | 2309 Park St Suite 204 Jacksonville, FL - 322044317 |
Business Phone Number: | 9049455642 |
Business Fax Number: | 8888267458 |
Mailing Address: | 2309 Park St, JACKSONVILLE |
State: | FL |
Postal Code: | 322044317 |
Phone Number: | 9049455642 |
Fax Number: | 8888267458 |
NPI Enumeration Date: | 10/06/2008 |
NPI Last Update Date: | 04/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MH7609 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |