Organization
COLLABORATIVE COUNSELING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JACKSON (OWNER)
(850) 296-6811
Entity
Organization
Contact information
Practice address
2834 REMINGTON GREEN CIR STE 104, TALLAHASSEE, FL 32308-3760
(850) 296-6811
Mailing address
1705 COPPERFIELD CIR, TALLAHASSEE, FL 32312-3755
(850) 296-6811
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
12/29/2019
Last updated
12/29/2019
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