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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TRACY AIDAN BOHANNON, M.E.D

Active

MRS. TRACY AIDAN BOHANNON, M.E.D is a Mental Health Counselor healthcare provider located in JACKSONVILLE, Florida. NPI 1023207453 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · JACKSONVILLE, FL

Registration Details

NPI Number
1023207453
Provider Type
Individual
Gender
Female
NPI Issued
Oct 22, 2007 (18.778260653402 yrs)
Last Updated
Sep 14, 2024
License
MH23300 (FL)

Practice Information

Address
4720 SALISBURY RD
JACKSONVILLE, FL, 322566101
Browse FL providers · Browse ZIP 32256
Phone
9042068405
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in JACKSONVILLE, FL

Name Credential NPI
MR. FRANK MORELLI LMHC 1871598870
JANET FLOYD RASNAKE LMHC 1639177843
LISA HUBBARD LMHC 1689660144
LYNN EDNA BRUESKE ED.S., LMHC 1952389439
DR. ROBERT SCOTT WALTON PH.D. 1336127711
MRS. LOUISE GAY LMFT 1568424331
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.