Provider Demographics
NPI:1194992925
Name:MATNEY, JAMES ALLEN (LMHC/CAP)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ALLEN
Last Name:MATNEY
Suffix:
Gender:M
Credentials:LMHC/CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8889 CORPORATE SQUARE CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-1981
Mailing Address - Country:US
Mailing Address - Phone:904-349-8113
Mailing Address - Fax:904-899-4538
Practice Address - Street 1:8889 CORPORATE SQUARE CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-1981
Practice Address - Country:US
Practice Address - Phone:904-349-8113
Practice Address - Fax:904-899-4538
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH1835101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor