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

Ishmael Eaves Farra, MA

Individual provider Counselor · NPI 1336616382

Ishmael Eaves Farra, MA is a Counselor in Jacksonville, Florida. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

6639 Southpoint Pkwy Ste 108
Jacksonville, FL 32216-8042
Phone: (904) 438-7640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Counselor Taxonomy 101Y00000X

Record details

NPI number1336616382
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedOctober 29, 2018
Last updated in NPPESOctober 29, 2018
Mailing address6639 Southpoint Pkwy Ste 108, Jacksonville, FL 32216-8042

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