NPI 1366842379 · live from the CMS NPI Registry
Suzanne Anderson, LMFT
Marriage & Family Therapist in Jacksonville, FL. National Provider Identifier 1366842379, active.
NPI record
| NPI | 1366842379 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 820 Prudential Dr Ste 510, Jacksonville, FL 32207 |
| Practice phone | 904-376-3800 |
| Mailing address | Po Box 748519, Atlanta, GA 30374 |
| Enumerated | August 27, 2014 |
| Last updated | June 1, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | MT4488 (FL) |
| Marriage & Family Therapist | 106H00000X | 201877 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.