| Theresa Council Llc | |
|
2815 Melson Ave Jacksonville FL 32254-1853 | |
| (904) 355-6864 | |
| Not Available |
| Full Name | Theresa Council Llc |
|---|---|
| Speciality | Counselor |
| Location | 2815 Melson Ave, Jacksonville, Florida |
| Authorized Official Name and Position | Theresa Council (OWNER) |
| Authorized Official Contact | 9043556864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Council Llc 2815 Melson Ave Jacksonville FL 32254-1853 Ph: (904) 355-6864 | Theresa Council Llc 2815 Melson Ave Jacksonville FL 32254-1853 Ph: (904) 355-6864 |
| NPI Number | 1700369857 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 06/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700369857 | NPI | - | NPPES |
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