Organization · Type 2 NPI

Innovation Counseling Center

Mental Health Counselor · Jacksonville, FL

NPI number 1164818217 Active

Practice location

9951 Atlantic Blvd, 442
Jacksonville, FL 32225-6584

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH13087 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1164818217

Innovation Counseling Center's National Provider Identifier is 1164818217, issued on Apr 15, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 29, 2016.