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4133 University Blvd S Ste 3 Jacksonville FL 32216-4350 | |
| (904) 294-7385 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4133 University Blvd S Ste 3, Jacksonville, Florida |
| Authorized Official Name and Position | Jean-colt Belizaire (THERAPIST) |
| Authorized Official Contact | 9042947385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 60012 Jacksonville FL 32236-0012 Ph: (904) 294-7385 | 4133 University Blvd S Ste 3 Jacksonville FL 32216-4350 Ph: (904) 294-7385 |
| NPI Number | 1932610680 |
|---|---|
| Provider Enumeration Date | 10/21/2017 |
| Last Update Date | 01/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932610680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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