Organization
WILDLY AUTHENTIC COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KRISTINE SCHAET LMHC, LPC (OWNER)
(904) 885-8278
Entity
Organization
Contact information
Practice address
12443 SAN JOSE BLVD STE 202, JACKSONVILLE, FL 32223-8648
(904) 337-9040
Mailing address
630 KINGSLEY AVE, ORANGE PARK, FL 32073-5465
(904) 885-8278
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
06/25/2024
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