Organization
CASEY CENTER FOR COMMUNITY COUNSELING
Active
Other names
Casey Center for Community Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ROBERT JEDRZIEWSKI MS (COO)
(904) 614-4190
Entity
Organization
Contact information
Practice address
2386 STOCKTON DR, FLEMING ISLAND, FL 32003-8787
(904) 614-4190
Mailing address
2386 STOCKTON DR, FLEMING ISLAND, FL 32003-8787
(904) 614-4190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
08/07/2020
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