IndividualActive
Blondeva Bethel, PEER SPECIALIST
NPI 1023998523 · Peer Specialist · Jacksonville, FL
Provider details
- NPI number
- 1023998523
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- PEER SPECIALIST
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0100096 (FL)
Specialties & taxonomies
Other Service Providers
Practice location
555 Stockton St
Jacksonville, FL 32204-2534
Phone: (904) 387-4667
Approximate (ZIP-level) locationGet directions
Mailing address
555 Stockton St
Jacksonville, FL 32204-2534
Registry dates
- Enumerated
- 2025-09-04
- Last updated
- 2025-09-04
- Certified
- 2025-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.