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

Daniel Pridham

Individual provider Counselor · NPI 1972436129

Daniel Pridham is a Counselor in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2026
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Practice location Address checks out

379 Tidewater Dr
Jacksonville, FL 32211-7226
Phone: (904) 210-6666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence IMH28776 (FL)

Record details

NPI number1972436129
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 6, 2026
Last updated in NPPESJune 6, 2026
Certification dateJune 6, 2026
Mailing address379 Tidewater Dr, Jacksonville, FL 32211-7226

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