Organization
AWAKENING COUNSELING & COACHING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DISHAUN DISU LMHC (OWNER)
(904) 444-8260
Entity
Organization
Contact information
Practice address
1724 VILLAGE WAY STE A, ORANGE PARK, FL 32073-5225
(904) 269-0886
(904) 269-0499
Mailing address
10245 MAGNOLIA HILLS DR, JACKSONVILLE, FL 32210-4993
(904) 444-8260
(904) 269-0499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH10580
FL
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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