Counseling Associates Clinic
NPI #1174761118 in St Augustine, Florida
Provider Information
- NPI Number
- 1174761118
- Entity Type
- Organization
- Organization Name
- Counseling Associates Clinic
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 29, 2009
- Last Updated
- Apr 15, 2009
Practice Location
- Address
- 890 A1A BEACH BLVD
- Address 2
- UNIT #5
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32080-6776
- Phone
- (904) 471-5623
Authorized Official
- Name
- MR. TIMMOTHY NELSON TILLOTSON
- Title
- OWNER
- Phone
- (904) 471-5623
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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