Organization
CHINCHILLA COUNSELING AND COACHING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA CHINCHILLA LCSW (OWNER)
(904) 649-2671
Entity
Organization
Contact information
Practice address
7643 GATE PKWY # 104-1034, JACKSONVILLE, FL 32256-3092
(904) 649-2665
Mailing address
7643 GATE PKWY # 104-1034, JACKSONVILLE, FL 32256-3092
(904) 649-2665
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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