Organization
BROOKE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE DOUGHERTY (OWNER)
(904) 447-7525
Entity
Organization
Contact information
Practice address
4475 US HIGHWAY 1 S STE 608, SAINT AUGUSTINE, FL 32086-7282
(904) 447-7525
Mailing address
4475 US HIGHWAY 1 S STE 608, SAINT AUGUSTINE, FL 32086-7282
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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