Organization
COVENANT COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD S OXHORN PH.D. (PRESIDENT)
(904) 625-1101
Entity
Organization
Contact information
Practice address
160 BERMUDA CT, PONTE VEDRA, FL 32082-2503
(904) 625-1101
Mailing address
PO BOX 934068, MARGATE, FL 33093-4068
(954) 366-2700
(954) 366-2056
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6210
FL
Other
Enumeration date
10/03/2006
Last updated
05/12/2015
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