Organization
SOUTHSIDE COUNSELING BIOFEEDBACK AND STRESS MANAGEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SOLOMON STANFORD (OFFICE MANAGER)
(904) 737-6700
Entity
Organization
Contact information
Practice address
5730 BOWDEN RD, 105, JACKSONVILLE, FL 32216-6104
(904) 737-6700
(904) 737-6774
Mailing address
5730 BOWDEN RD, 105, JACKSONVILLE, FL 32216-6104
(904) 737-6700
(904) 737-6774
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH0003114
FL
Other
Enumeration date
12/20/2006
Last updated
04/16/2008
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