| Connected Counselor Llc | |
|
4540 Southside Blvd Ste 604 Jacksonville FL 32216-5488 | |
| (904) 299-2928 | |
| (904) 800-1331 |
| Full Name | Connected Counselor Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4540 Southside Blvd Ste 604, Jacksonville, Florida |
| Authorized Official Name and Position | Allison Teger (OWNER) |
| Authorized Official Contact | 9042992928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connected Counselor Llc 4540 Southside Blvd Ste 604 Jacksonville FL 32216-5488 Ph: (904) 299-2928 | Connected Counselor Llc 4540 Southside Blvd Ste 604 Jacksonville FL 32216-5488 Ph: (904) 299-2928 |
| NPI Number | 1235595380 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 07/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235595380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH7665 (Florida) | Primary |
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