Organization
CHRISTIAN COUNSELING ASSOCIATES OF JACKSONVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW T JACOBS MA (PRESIDENT)
(904) 509-4253
Entity
Organization
Contact information
Practice address
822 A1A N STE 310, PONTE VEDRA BEACH, FL 32082-8209
(904) 758-4399
Mailing address
165 BARBERRY LN, PONTE VEDRA BEACH, FL 32082-3000
(904) 509-4253
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
LCMFT 0413020312
FL
Other
Enumeration date
07/03/2016
Last updated
07/03/2016
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