Provider Demographics
NPI:1710373972
Name:HUEBNER, JESSIE (LMHC, LPC, CEDS-C)
Entity Type:Individual
Prefix:MRS
First Name:JESSIE
Middle Name:
Last Name:HUEBNER
Suffix:
Gender:F
Credentials:LMHC, LPC, CEDS-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 GREENLAND RD STE 903
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-7450
Mailing Address - Country:US
Mailing Address - Phone:561-316-3577
Mailing Address - Fax:561-258-3381
Practice Address - Street 1:6100 GREENLAND RD STE 903
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32258-7450
Practice Address - Country:US
Practice Address - Phone:561-316-3577
Practice Address - Fax:561-258-3381
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-14
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00717800101YM0800X
FLMH14748101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty