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Organization
ONE STOP COMMUNITY BASE BEHAVIORAL HEALTHCARE INC
Active
Organization
ONE STOP COMMUNITY BASE BEHAVIORAL HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FARKHANDA KHAN LMHC (THERAPIST)
(904) 403-3241
Entity
Organization
Contact information
Practice address
12058 SAN JOSE BLVD STE 903, JACKSONVILLE, FL 32223-8667
(894) 886-0361
(904) 886-0382
Mailing address
3025 FARRINGTON ST, JACKSONVILLE, FL 32224-1821
(904) 403-3241
(904) 223-5396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528489598
—
FL
Enumeration date
09/21/2018
Last updated
09/21/2018
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