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Organization
HOME AGAIN COUNSELING
Active
Organization
HOME AGAIN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN C MCCLAIN LCSW (OWNER/THERAPIST)
(904) 525-0268
Entity
Organization
Contact information
Practice address
226 13TH AVE NE APT 5, ST PETERSBURG, FL 33701-1234
(904) 525-0268
Mailing address
226 13TH AVE NE APT 5, ST PETERSBURG, FL 33701-1234
(904) 525-0268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW12771
FL
1041C0700X
Clinical Social Worker
Primary
SW12771
FL
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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