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1922826668
ADAM C DOUGLAS
JACKSONVILLE, FL
NPI
1922826668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 26419)
Enumeration Date
2024-10-01
Last Update Date
2024-10-01
Business Address
ADAM C DOUGLAS
2309 PARK ST
JACKSONVILLE, FL 32204-4317
Phone number: 904-323-0910
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Mailing Address
ADAM C DOUGLAS
7057 HOLIDAY RD N
JACKSONVILLE, FL 32216-9119
Phone number: 904-704-7352
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