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Wildly Authentic Counseling, Llc
Professional Counselor in Jacksonville, Florida
NPI 1053086793

Wildly Authentic Counseling, Llc is a Professional Counselor based in Lake City, FL and is specialized in Professional. Wildly Authentic Counseling, Llc practices in Jacksonville, FL. The NPI Number for Wildly Authentic Counseling, Llc is 1053086793 and holds a License No. (Florida).

The current practice location address for Wildly Authentic Counseling, Llc is 12443 San Jose Blvd Ste 202, Jacksonville, FL and can be reached out via phone at 904-337-9040.

Location: 12443 San Jose Blvd Ste 202, Jacksonville, FL, 32025-1723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053086793
Provider Name
Wildly Authentic Counseling, Llc
Credential
Provider Entity Type
Organization
Address
12443 San Jose Blvd Ste 202, Jacksonville, FL, 32025-1723
Phone Number
904-337-9040
Fax Number
Provider Enumeration Date
08/13/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
12443 San Jose Blvd Ste 202
City
Jacksonville
State
Florida
Zip
32223-8648
Phone Number
904-337-9040
Fax Number
person
Provider Business Mailing Address Details
Address
12443 San Jose Blvd Ste 202
City
Jacksonville
State
Florida
Zip
32223-8648
Phone Number
904-337-9040
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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