JUSTIN TYLER BOLLINGMO

JACKSONVILLE, FL
NPI1326436981
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: FL  3292)
Enumeration Date2015-01-06
Last Update Date2022-05-13
Business Address
Mr. JUSTIN TYLER BOLLINGMO LMFT
1650 PRUDENTIAL DR STE 210
JACKSONVILLE, FL 32207-8149
Phone number: 904-376-3800
Mailing Address
Mr. JUSTIN TYLER BOLLINGMO LMFT
PO BOX 748519
ATLANTA, GA 30374-8519
Phone number: 904-376-3800