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Organization

THE GUIDANCE CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD HARRY FULTON PH.D. (OWNER)
(904) 730-7575
Entity
Organization

Contact information

Practice address
9140 GOLFSIDE DR, #4S, JACKSONVILLE, FL 32256-1881
(904) 730-7575
Mailing address
9140 GOLFSIDE DR, #4S, JACKSONVILLE, FL 32256-1881
(904) 730-7575

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1278
FL

Other

Enumeration date
07/15/2008
Last updated
07/15/2008
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