Organization
AMBRIA PAGE LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBRIA JACQUELYN PAGE LCSW (PROVIDER/OWNER/AUTHORIZED PERSON)
(904) 315-9248
Entity
Organization
Contact information
Practice address
4 OFFICE PARK DR UNIT 201, PALM COAST, FL 32137-3809
(904) 315-9248
(386) 309-2350
Mailing address
4 OFFICE PARK DR UNIT 201, PALM COAST, FL 32137-3809
(904) 315-9248
(386) 309-2350
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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