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8825 Perimeter Park Blvd Suite 601 Jacksonville FL 32216-1108 | |
| (904) 891-2576 | |
| (904) 743-9289 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8825 Perimeter Park Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Jamie Holdman Kopp (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 9048912576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10010 Skinner Lake Dr Unit 922 Jacksonville FL 32246-8408 Ph: (904) 891-2576 | 8825 Perimeter Park Blvd Suite 601 Jacksonville FL 32216-1108 Ph: (904) 891-2576 |
| NPI Number | 1437515046 |
|---|---|
| Provider Enumeration Date | 01/12/2016 |
| Last Update Date | 01/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437515046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Florida) | Primary |
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