INNOVATION COUNSELING CENTER

JACKSONVILLE, FL
NPI1164818217
Entity TypeOrganization
Authorized ContactANGELA MALONE
CEO
904-719-1043
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH13087)
Enumeration Date2015-04-15
Last Update Date2016-11-29
Business Address
INNOVATION COUNSELING CENTER
9951 ATLANTIC BLVD 442
JACKSONVILLE, FL 32225-6584
Phone number: 904-274-6255
Mailing Address
INNOVATION COUNSELING CENTER
9951 ATLANTIC BLVD 442
JACKSONVILLE, FL 32225-6584
Phone number: 904-327-4261
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