Organization
JFRCOUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIAN FRANK RODRIGUEZ ED.S., M.ED., MCAP (CEO)
(561) 617-3437
Entity
Organization
Contact information
Practice address
4601 SHERIDAN ST STE 400, HOLLYWOOD, FL 33021
(561) 617-3437
Mailing address
4601 SHERIDAN ST STE 400, HOLLYWOOD, FL 33021-3435
(561) 617-3437
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADC-010270-2015
FL
251S00000X
Community/Behavioral Health Agency
L11000117623
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13623640
CAQH
FL
Enumeration date
02/05/2013
Last updated
08/11/2020
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