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Organization
THERAPEUTIC CONSULTING ASSOCIATES, LLC
Active
Organization
THERAPEUTIC CONSULTING ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LYNN HAINSWORTH LMHC (RA)
(904) 729-2719
Entity
Organization
Contact information
Practice address
1912 HAMILTON ST, SUITE #103, JACKSONVILLE, FL 32210-2076
(904) 729-2719
(904) 485-8887
Mailing address
1912 HAMILTON ST, SUITE #103, JACKSONVILLE, FL 32210-2076
(904) 729-2719
(904) 485-8887
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH10676
FL
101YM0800X
Mental Health Counselor
MH10995
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008141000
—
FL
Enumeration date
08/25/2014
Last updated
08/25/2014
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