| |
2255 Dunn Ave Ste 601b Jacksonville FL 32218-4742 | |
(904) 314-0569 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 2255 Dunn Ave Ste 601b, Jacksonville, Florida |
Authorized Official Name and Position | Norma Owens Hixon (LICENSED MENTAL HEALTH COUNSELOR) |
Authorized Official Contact | 9043140569 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2255 Dunn Ave Ste 601b Jacksonville FL 32218-4742 Ph: (904) 314-0569 | 2255 Dunn Ave Ste 601b Jacksonville FL 32218-4742 Ph: (904) 314-0569 |
NPI Number | 1104536267 |
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Provider Enumeration Date | 11/30/2022 |
Last Update Date | 12/02/2022 |
Certification Date | 12/02/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104536267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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