Provider Demographics
NPI:1134627847
Name:DISCHERT, CARDELIA (MS, LMHC)
Entity type:Individual
Prefix:MRS
First Name:CARDELIA
Middle Name:
Last Name:DISCHERT
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9417 LOVAGE LN
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32219-2215
Mailing Address - Country:US
Mailing Address - Phone:904-321-9117
Mailing Address - Fax:
Practice Address - Street 1:6622 SOUTHPOINT DR S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-8014
Practice Address - Country:US
Practice Address - Phone:904-321-9117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-28
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14891101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health