Organization
AUTHENTIC SELF COUNSELING OF JACKSONVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANDERSON (OWNER)
(904) 990-7117
Entity
Organization
Contact information
Practice address
9770 BAYMEADOWS RD STE 133, JACKSONVILLE, FL 32256-7986
(904) 990-7117
Mailing address
9770 BAYMEADOWS RD STE 133, JACKSONVILLE, FL 32256-7986
(904) 990-7117
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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