Organization
CASEY CENTER FOR COMMUNITY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R JEDRZIEWSKI LMFT, LMHC (COO)
(904) 614-4190
Entity
Organization
Contact information
Practice address
6282 DUPONT STATION CT E STE 2, JACKSONVILLE, FL 32217-2515
(904) 614-4190
Mailing address
6282 DUPONT STATION CT E STE 2, JACKSONVILLE, FL 32217-2515
(904) 614-4190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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