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Organization

NEW DAY COUNSELING PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROSS EDWARD MCDONOUGH L.C.S.W. (PRESIDENT)
(904) 240-5455
Entity
Organization

Contact information

Practice address
808 3RD ST, SUITE A, NEPTUNE BEACH, FL 32266-5081
(904) 240-5455
(904) 638-3051
Mailing address
808 3RD ST, SUITE A, NEPTUNE BEACH, FL 32266-5081
(904) 240-5455
(904) 638-3051

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW 7446
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11926081
CAQH
FL
Enumeration date
02/28/2009
Last updated
02/28/2009
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