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Organization
TJAL ENTERPRISES INC.
Active
Organization
TJAL ENTERPRISES INC.
Active
Other names
Santa Rosa Beach Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN LESTOURGEON LMHC (OWNER)
(321) 720-8878
Entity
Organization
Contact information
Practice address
1131E MACK BAYOU RD, SANTA ROSA BEACH, FL 32459-3113
(850) 601-1117
Mailing address
24 DELBERT LN, SANTA ROSA BEACH, FL 32459-3678
(321) 720-8878
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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