Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blair Rae-Nicole Anderson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1225973126

Blair Rae-Nicole Anderson is an Addiction (Substance Use Disorder) Counselor in Jacksonville, Florida. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

590 Ellis Rd S Bldg 4
Jacksonville, FL 32254-3555
Phone: (877) 284-7074
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1225973126
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

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