| Authentic Self Counseling Of Jacksonville, Llc | |
|
910 S 8th St Ste 100 Fernandina Beach FL 32034-3745 | |
| (904) 894-3867 | |
| Not Available |
| Full Name | Authentic Self Counseling Of Jacksonville, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 910 S 8th St Ste 100, Fernandina Beach, Florida |
| Authorized Official Name and Position | Michelle Anderson (OWNER) |
| Authorized Official Contact | 9049907117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Self Counseling Of Jacksonville, Llc 910 S 8th St Ste 100 Fernandina Beach FL 32034-3745 Ph: (904) 894-3867 | Authentic Self Counseling Of Jacksonville, Llc 910 S 8th St Ste 100 Fernandina Beach FL 32034-3745 Ph: (904) 894-3867 |
| NPI Number | 1982369625 |
|---|---|
| Provider Enumeration Date | 11/08/2021 |
| Last Update Date | 11/08/2021 |
| Certification Date | 11/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982369625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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