| NPI | 1336088624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER J. MCCOLLUM Licensed Mental Health Counselor 904-525-5366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-03-25 |
| Last Update Date | 2026-03-25 |