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NPI Code Detail

MEDICARE: RICHARD ECKLER LMHC

MEDICARE:   RICHARD  ECKLER  LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH13011FL

Other Identifiers

General Provider Information

NPI Number : 1013376169
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD ECKLER LMHC
Provider Business Mailing Address
First Line : 4804 SEFA CIR N
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-1920
Country : US
Telephone Number : 904-384-4086
Fax Number :
Provider Business Practice Location Address
First Line : 4804 SEFA CIRCLE N
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-1920
Country : US
Telephone Number : 904-384-4086
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2016
Last Update Date : 12/12/2016

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