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Organization
SAFE TO SHORE COUNSELING
Active
Organization
SAFE TO SHORE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA A JEROME LPC (PROFESSIONAL COUNSELOR)
(912) 687-1105
Entity
Organization
Contact information
Practice address
134 N MAIN ST, STATESBORO, GA 30458-5753
(912) 687-1105
Mailing address
211 THORNWOOD CT, STATESBORO, GA 30458-0296
(912) 687-1105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
010358
GA
101YP2500X
Professional Counselor
Primary
010358
GA
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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