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Organization
MAXWELL BEHAVIORAL HEALTH
Active
Organization
MAXWELL BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON MICHAEL PUCHALSKY LICSW (FOUNDER)
(908) 670-5843
Entity
Organization
Contact information
Practice address
120 WARDS RAVINE WAY, ST JOHNS, FL 32259-9398
(908) 670-5843
Mailing address
400 N TAMPA ST, STE 1550 PMB 928871, TAMPA, FL 33602-4719
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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