NPI 1134571078
Christian Counseling Associates of Jacksonville
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
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.