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Organization
CHEMICAL DEPENDENCY COUNSELING, INC.
Active
Organization
CHEMICAL DEPENDENCY COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A. DAVIS III PMD (PROGRAM MANAGER)
(904) 353-2949
Entity
Organization
Contact information
Practice address
300 W ADAMS ST STE 240, JACKSONVILLE, FL 32202-4365
(904) 353-2949
(904) 353-2959
Mailing address
300 W ADAMS ST STE 240, JACKSONVILLE, FL 32202-4365
(904) 353-2949
(904) 353-2959
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MH1184
FL
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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