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NPI Code Detail

MEDICARE: LINDA GURT COUNSELING LLC

MEDICARE: LINDA GURT COUNSELING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1346838265
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINDA GURT COUNSELING LLC
Provider Business Mailing Address
First Line : 2523 HERSCHEL ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4509
Country : US
Telephone Number : 904-206-8594
Fax Number :
Provider Business Practice Location Address
First Line : 2523 HERSCHEL ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4509
Country : US
Telephone Number : 904-206-8594
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LINDA GURT
Credential :
Telephone Number : 267-688-6574
Provider Enumeration Date : 01/06/2021
Last Update Date : 01/06/2021

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