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Organization
BREAKTHROUGH COUNSELING SERVICES OF FLORIDA
Active
Organization
BREAKTHROUGH COUNSELING SERVICES OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ALEXIS GARDNER MA (PRESIDENT)
(904) 330-6072
Entity
Organization
Contact information
Practice address
712 SAINT JOHNS AVE, PALATKA, FL 32177-4646
(904) 330-6072
Mailing address
9132 JENNIFER BLVD, JACKSONVILLE, FL 32222-1928
(904) 330-6072
(904) 330-6072
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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