Organization
BEACHES EDUCATION & COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET FIENEMANN (THERAPIST)
(904) 521-3622
Entity
Organization
Contact information
Practice address
166 A1A N, PONTE VEDRA, FL 32082-5701
(904) 521-3622
Mailing address
909 5TH AVE N, JACKSONVILLE BEACH, FL 32250-4515
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 10192
FL
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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