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General NPI Number Information
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NPI Number | 1336452416
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Entity Type | Organization
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Legal Business Name | COUNSELING GROUP OF FLORIDA
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Dates
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Enumeration Date | 07/19/2010
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Last Update Date | 07/19/2010
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Provider Practice Location Address
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Address Line | 435 CLARK RD SUITE 104
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City | JACKSONVILLE
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State | FL
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Zip | 32218-5596
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Country | US
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Telephone | 904-923-0513
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Fax | 904-329-2436
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Provider Business Mailing Address
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Address Line | 15737 JIM CT
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City | JACKSONVILLE
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State | FL
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Zip | 32218-6879
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Country | US
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Telephone | 904-923-0513
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Fax | 904-329-2436
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHARON D BARBER
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Credential | LMHC
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Telephone | 904-923-0513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH8721
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License Number State | FL
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