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General NPI Number Information
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NPI Number | 1801263108
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Entity Type | Organization
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Legal Business Name | SHREDERS & ASSOCIATES, INC.
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Dates
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Enumeration Date | 08/21/2015
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 12058 SAN JOSE BLVD SUITE 104
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City | JACKSONVILLE
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State | FL
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Zip | 32223-8669
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Country | US
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Telephone | 904-522-7920
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Fax | 833-563-2523
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Provider Business Mailing Address
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Address Line | 12058 SAN JOSE BLVD SUITE 104
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City | JACKSONVILLE
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State | FL
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Zip | 32223-8669
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Country | US
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Telephone | 904-466-1791
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Fax | 833-563-2523
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. KARLY S. SHREDERS
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Credential | MACP, LMHC
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Telephone | 904-466-1791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 10130
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License Number State | FL
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