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Organization
PURPLE MOON SERVICE CENTER, LLC
Active
Organization
PURPLE MOON SERVICE CENTER, LLC
Active
Other names
Purple Moon Service Center,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALJEANNE R CASTER LMHC, MAC, CAMSII, (COUNSELOR -OWNER)
(904) 233-1019
Entity
Organization
Contact information
Practice address
931 CASSAT AVE, JACKSONVILLE, FL 32205-4857
(904) 233-1019
(904) 369-4666
Mailing address
931 CASSAT AVE, JACKSONVILLE, FL 32205-4857
(904) 233-1019
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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