Organization
MOMENTUM COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN L DIRITO LCSW (OWNER)
(904) 874-9760
Entity
Organization
Contact information
Practice address
320 1ST ST N STE 613, JACKSONVILLE, FL 32250-6947
(904) 874-9760
Mailing address
320 1ST ST N STE 613, JACKSONVILLE, FL 32250-6947
(904) 874-9760
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW9543
FL
Other
Enumeration date
02/10/2010
Last updated
01/19/2011
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