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Organization
TIDELINE COUNSELING AND MENTAL HEALTH ASSOCAITES
Active
Organization
TIDELINE COUNSELING AND MENTAL HEALTH ASSOCAITES
Active
Other names
Tideline Counseling and Mental Health Assocaites
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL KNOWLES (CFO)
(912) 276-3487
Entity
Organization
Contact information
Practice address
100 MARINERS DR, SUITE D, KINGSLAND, GA 31548-6666
(912) 276-3487
Mailing address
100 MARINERS DR, SUITE D, KINGSLAND, GA 31548-6666
(912) 276-3487
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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