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Organization
FIRST COAST COUNSELING
Active
Organization
FIRST COAST COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARTON JAMES BOTT LMHC (MANAGING MEMBER)
(904) 432-8603
Entity
Organization
Contact information
Practice address
910 S 8TH ST, SUITE 121, FERNANDINA BEACH, FL 32034-3744
(904) 432-8603
Mailing address
2478 1ST AVE, UNIT A, FERNANDINA BEACH, FL 32034-6386
(904) 432-8603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH-6275
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
643794
—
FL
Enumeration date
04/03/2017
Last updated
04/03/2017
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