Jason Allen Standridge

NPI #1740945435 in Live Oak, Florida

Provider Information

NPI Number: 1740945435
Entity Type: Individual
Name: Jason Allen Standridge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 8, 2021
Last Updated: Nov 8, 2021

Practice Location

Address: 920 NOBLES FERRY RD
City: Live Oak
State: Florida
ZIP Code: 32064-8463
Phone: (352) 374-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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