| First Coast Counseling | |
|
910 S 8th St Suite 121 Fernandina Beach FL 32034-3744 | |
| (904) 432-8603 | |
| Not Available |
| Full Name | First Coast Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 910 S 8th St, Fernandina Beach, Florida |
| Authorized Official Name and Position | Barton James Bott (MANAGING MEMBER) |
| Authorized Official Contact | 9044328603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Coast Counseling 2478 1st Ave Unit A Fernandina Beach FL 32034-6386 Ph: (904) 432-8603 | First Coast Counseling 910 S 8th St Suite 121 Fernandina Beach FL 32034-3744 Ph: (904) 432-8603 |
| NPI Number | 1033641543 |
|---|---|
| Provider Enumeration Date | 04/03/2017 |
| Last Update Date | 04/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033641543 | NPI | - | NPPES |
| 643794 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH-6275 (Florida) | Primary |
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