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Organization
JEM THERAPY SERVICES, LLC
Active
Organization
JEM THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MATILLA LMHC (LICENSED MENTAL HEALTH COUNSELOR/QU)
(904) 773-4665
Entity
Organization
Contact information
Practice address
1409 KINGSLEY AVE,, BLDG 9, SUITE D, ORANGE PARK, FL 32073-4537
(904) 773-4665
(904) 773-4668
Mailing address
1409 KINGSLEY AVE,, BLDG 9, SUITE D, ORANGE PARK, FL 32073-4537
(904) 773-4665
(904) 773-4668
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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