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Organization
NEW LIFE COUNSELING AND EDUCATIONAL SERVICES MULTIPURPOSE CENTER INC
Active
Organization
NEW LIFE COUNSELING AND EDUCATIONAL SERVICES MULTIPURPOSE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELEECIA TUCKER (CFO)
(904) 551-4953
Entity
Organization
Contact information
Practice address
4417 BEACH BLVD STE 101, JACKSONVILLE, FL 32207-4728
(904) 551-4953
(904) 212-2366
Mailing address
4417 BEACH BLVD STE 101, JACKSONVILLE, FL 32207-4728
(904) 551-4953
(904) 212-2366
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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