Fresh Start Counseling, Pa | |
12443 San Jose Blvd Ste 202 Jacksonville FL 32223-8648 | |
(904) 428-8331 | |
(904) 320-0754 |
Full Name | Fresh Start Counseling, Pa |
---|---|
Speciality | Social Worker - Clinical |
Location | 12443 San Jose Blvd Ste 202, Jacksonville, Florida |
Authorized Official Name and Position | Christie Matlosz (OWNER) |
Authorized Official Contact | 9044288331 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fresh Start Counseling, Pa 12443 San Jose Blvd Ste 202 Jacksonville FL 32223-8648 Ph: (904) 428-8331 | Fresh Start Counseling, Pa 12443 San Jose Blvd Ste 202 Jacksonville FL 32223-8648 Ph: (904) 428-8331 |
NPI Number | 1174274658 |
---|---|
Provider Enumeration Date | 01/16/2022 |
Last Update Date | 01/16/2022 |
Certification Date | 01/12/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174274658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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