MRS. RENEE WYDEN, LCSW

Counselor

Active Individual
NPI: 1164416889

Practice Address

2950 HALCYON LN
SUITE 703
Jacksonville, FL 32223

Phone: (904) 638-7042

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes SW6557 (FL)

Frequently Asked Questions

NPI 1164416889 is the National Provider Identifier for MRS. RENEE WYDEN, LCSW, a Counselor provider located in Jacksonville, FL. This NPI was enumerated on September 8, 2005.
MRS. RENEE WYDEN, LCSW practices at 2950 HALCYON LN, SUITE 703, Jacksonville, FL 32223.

Quick Facts

NPI
1164416889
Type
Individual
Enumerated
Sep 8, 2005
Last Updated
Apr 6, 2011

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