| Jennifer Ann Counseling Of Florida Llc | |
|
1409 Kingsley Ave Ste 9e Orange Park FL 32073-4579 | |
| (904) 215-4151 | |
| Not Available |
| Full Name | Jennifer Ann Counseling Of Florida Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1409 Kingsley Ave Ste 9e, Orange Park, Florida |
| Authorized Official Name and Position | Jennifer Ann Dahl (OWNER) |
| Authorized Official Contact | 9046512490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Ann Counseling Of Florida Llc 1956 Harbor Island Dr Fleming Island FL 32003-7257 Ph: (904) 651-2490 | Jennifer Ann Counseling Of Florida Llc 1409 Kingsley Ave Ste 9e Orange Park FL 32073-4579 Ph: (904) 215-4151 |
| NPI Number | 1760850200 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 09/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760850200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH 6933 (Florida) | Primary |
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