| Casey Center For Community Counseling | |
|
6282 Dupont Station Ct E Ste 2 Jacksonville FL 32217-2515 | |
| (904) 614-4190 | |
| Not Available |
| Full Name | Casey Center For Community Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 6282 Dupont Station Ct E Ste 2, Jacksonville, Florida |
| Authorized Official Name and Position | David R 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 6282 Dupont Station Ct E Ste 2 Jacksonville FL 32217-2515 Ph: (904) 614-4190 | Casey Center For Community Counseling 6282 Dupont Station Ct E Ste 2 Jacksonville FL 32217-2515 Ph: (904) 614-4190 |
| NPI Number | 1275377236 |
|---|---|
| Provider Enumeration Date | 06/24/2024 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275377236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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