Whalio Doctors

NPI 1134571078

Christian Counseling Associates of Jacksonville

Organisation Voluntary or Charitable Agency Ponte Vedra Beach, FL

Practice location

Address
822 A1a N STE 310, Ponte Vedra Beach, FL 32082-8209
Phone
(904) 758-4399
Mailing address
165 Barberry Ln, Ponte Vedra Beach, FL 32082-3000

Authorised official

Name
Andrew T Jacobs
Title
President
Phone
(904) 509-4253

Registered specialties

Voluntary or Charitable Agency Primary
Agencies Taxonomy 251V00000X Licence LCMFT 0413020312 (FL)

Registry record

NPI
1134571078
Entity type
Organization
NPI issued
3 Jul 2016
Record last updated
3 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.