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Organization
PASTORAL COUNSELING SERVICES, INC.
Active
Organization
PASTORAL COUNSELING SERVICES, INC.
Active
Other names
Pastoral Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFTON EARL THOMAS (DEVELOPMENT DIRECTOR)
(904) 398-2437
Entity
Organization
Contact information
Practice address
2140 MANGO PL, JACKSONVILLE, FL 32207-3326
(904) 398-2437
(904) 346-3064
Mailing address
2140 MANGO PL, JACKSONVILLE, FL 32207-3326
(904) 398-2437
(904) 346-3064
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
MFT1294
FL
390200000X
Student in an Organized Health Care Education/Training Program
IMH14246
FL
Other
Enumeration date
01/08/2007
Last updated
10/11/2016
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