| 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 |
|---|---|
| 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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