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Organization
RESTORATION COUNSELING AND SUPPORT SERVICES, LLC
Active
Organization
RESTORATION COUNSELING AND SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KANDI JACKSON LCSW, CCM (OWNER)
(904) 453-7970
Entity
Organization
Contact information
Practice address
2255 DUNN AVE STE 206, JACKSONVILLE, FL 32218-4739
(904) 453-7970
Mailing address
5836 COPPER CREEK DR, JACKSONVILLE, FL 32218-7334
(904) 710-0625
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/01/2020
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