IndividualActive
Alicecer Pendleton
NPI 1700378601 · Addiction (Substance Use Disorder) Counselor · Jacksonville, FL
Provider details
- NPI number
- 1700378601
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4427 Emerson St Ste 4
Jacksonville, FL 32207-4960
Phone: (904) 398-7015
Fax: (904) 346-0837
Approximate (ZIP-level) locationGet directions
Mailing address
4427 Emerson St Ste 4
Jacksonville, FL 32207-4960
Registry dates
- Enumerated
- 2018-06-06
- Last updated
- 2018-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.