Organization · Type 2 NPI
Southside Counselling Center LLC
Professional Counselor · Jacksonville, FL
NPI number
1124304167
Active
Practice location
3681 Carol Ann Ln
Jacksonville, FL 32223-7394
Fax (904) 292-2409
Mailing address
2950 Halcyon Ln
Jacksonville, FL 32223-6689
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | MH8370 (FL) |
Professional Counselor: Definition to come...
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About NPI 1124304167
Southside Counselling Center LLC's National Provider Identifier is 1124304167, issued on Oct 21, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 14, 2012.