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Contact Information

AMBER CHASE, BCCC, CCLC
6159 CLEARSKY DR
JACKSONVILLE, FL32258-8431
 Phone: 904-661-9052
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Art Therapist

221700000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for AMBER CHASE · (Female)

NPI Number 1831948751
Status Active
Credentials BCCC, CCLC
Entity Individual
Enumeration date 05/14/2024
Last updated 05/14/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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