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Organization
JEWISH FAMILY AND COMMUNITY SERVICES
Active
Organization
JEWISH FAMILY AND COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN LLOYD RODRIGUEZ LCSW (EXECUTIVE DIRECTOR)
(904) 759-8222
Entity
Organization
Contact information
Practice address
8540 BAYCENTER RD, JACKSONVILLE, FL 32256-7420
(904) 448-1933
Mailing address
8540 BAYCENTER RD, JACKSONVILLE, FL 32256-7420
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
761063700
—
FL
Enumeration date
10/26/2023
Last updated
10/26/2023
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