Casey Center For Community Counseling | |
2386 Stockton Dr Fleming Island FL 32003-8787 | |
(904) 614-4190 | |
Not Available |
Full Name | Casey Center For Community Counseling |
---|---|
Speciality | Counselor - Mental Health |
Location | 2386 Stockton Dr, Fleming Island, Florida |
Authorized Official Name and Position | David Robert Jedrziewski (COO) |
Authorized Official Contact | 9046144190 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Casey Center For Community Counseling 2386 Stockton Dr Fleming Island FL 32003-8787 Ph: (904) 614-4190 | Casey Center For Community Counseling 2386 Stockton Dr Fleming Island FL 32003-8787 Ph: (904) 614-4190 |
NPI Number | 1811513534 |
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Provider Enumeration Date | 06/18/2020 |
Last Update Date | 08/07/2020 |
Certification Date | 08/07/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811513534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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