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Keystone Djj, Llc
Counselor in Bristol, Florida
NPI 1134309438

Keystone Djj, Llc is a Counselor based in Bristol, FL. Keystone Djj, Llc practices in Bristol, FL. The NPI Number for Keystone Djj, Llc is 1134309438 and holds a License No. (Florida).

The current practice location address for Keystone Djj, Llc is 12422 Nw G T Revell Rd, Bristol, FL and can be reached out via phone at 850-643-4600 and via fax at 850-643-2061.

Location: 12422 Nw G T Revell Rd, Bristol, FL, 32321-3007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134309438
Provider Name
Keystone Djj, Llc
Credential
Provider Entity Type
Organization
Address
12422 Nw G T Revell Rd, Bristol, FL, 32321-3007
Phone Number
850-643-4600
Fax Number
850-643-2061
Provider Enumeration Date
11/05/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0239AD272501 01 FL OUTPATIENT SUBSTANCE ABUS
institution
Provider Business Practice Location Address Details
Address
12422 Nw G T Revell Rd
City
Bristol
State
Florida
Zip
32321-3007
Phone Number
850-643-4600
Fax Number
850-643-2061
person
Provider Business Mailing Address Details
Address
12422 Nw G T Revell Rd
City
Bristol
State
Florida
Zip
32321-3007
Phone Number
850-643-4600
Fax Number
850-643-2061
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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