Overview
Name: AUTHENTIC SELF COUNSELING OF JACKSONVILLE, LLC
Specialty: Mental Health Counselor
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Behavioral Health & Social Service Providers
Classification: Counselor
Specialization: Mental Health.
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: AUTHENTIC SELF COUNSELING OF JACKSONVILLE, LLC,910 S 8TH ST STE 100,FERNANDINA BEACH,FL,320343745,US
Mailing Address: AUTHENTIC SELF COUNSELING OF JACKSONVILLE, LLC,910 S 8TH ST STE 100,FERNANDINA BEACH,FL,320343745,US
Contact #
Practice location phone #: 9048943867
Practice location fax #:
Mailing address Phone #: 9048943867
Mailing Address fax #:
Authorized official Name/Telephone #:MICHELLE, ANDERSON, OWNER 9049907117
Misc
Date NPI was obtained: 11/08/2021
Last data data was updated: 11/08/2021
Insurances: