Healthcare Provider Details

I. General information

NPI: 1780301010
Provider Name (Legal Business Name): AMRITPAL KAUR SEKHON MA, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2022
Last Update Date: 10/26/2022
Certification Date: 10/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3027 SAN DIEGO RD
JACKSONVILLE FL
32207-3691
US

IV. Provider business mailing address

4460 HODGES BLVD APT 410
JACKSONVILLE FL
32224-5205
US

V. Phone/Fax

Practice location:
  • Phone: 903-831-6352
  • Fax:
Mailing address:
  • Phone: 901-337-9349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: