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Organization
WALTON BRUESKE COUNSELING GROUP PA
Active
Organization
WALTON BRUESKE COUNSELING GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SCOTT WALTON PHD (PRESIDENT)
(904) 733-9669
Entity
Organization
Contact information
Practice address
3810-1 WILLIAMSBURG PARK BLVD, JACKSONVILLE, FL 32257-9217
(904) 733-9669
(904) 733-4194
Mailing address
3810-1 WILLIAMSBURG PARK BLVD, JACKSONVILLE, FL 32257-9217
(904) 733-9669
(904) 733-4194
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH209
FL
101YM0800X
Mental Health Counselor
Primary
MH2109
FL
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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