Stanvonna Shootes
Mental Health Counselor
435 Clark Rd Suite 107
Jacksonville
, Florida 32218-5596
Stanvonna Shootes
Mental Health Counselor
435 Clark Rd Suite 107
Jacksonville
, Florida 32218-5596
(904) 765-0664
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Stanvonna Shootes
- 6535 Sunset Dr
- Jacksonville, FL
- Zip : 32208-4637
- Fax : (904) 765-0664
- Phone : (904) 485-0715
Second Address
- Stanvonna Shootes
- 435 Clark Rd Suite 107
- Jacksonville, FL
- Zip : 32218-5596
- Fax : (904) 765-0664
- Phone : (904) 765-0665
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Is Stanvonna Shootes a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor |
National Provider Identifier
| NPI | 1003225970 |
|---|---|
| Provider Name | Stanvonna Shootes |
| First Address | Jacksonville, FL 32208-4637 |
| Second Address | Jacksonville, FL 32218-5596 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2014 |
| Last Update Date | 05/08/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.