WALTON BRUESKE COUNSELING GROUP PA NPI 1801002431

NPI Information

NPI: 1801002431
Provider Name: WALTON BRUESKE COUNSELING GROUP PA
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3810-1 WILLIAMSBURG PARK BLVD
JACKSONVILLE, FL
ZIP 32257
Phone: (904) 733-9669
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WALTON BRUESKE COUNSELING GROUP PA is a mental health counselor in Jacksonville, FL. WALTON BRUESKE COUNSELING GROUP PA NPI is 1801002431. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3810-1 WILLIAMSBURG PARK BLVD
JACKSONVILLE, FL
ZIP 32257-217
Phone: (904) 733-9669
Fax: (904) 733-4194

The provider's authorized official is Robert Scott Walton .
The authorized official title is President and has the following contact phone number (904) 733-9669.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH209	FLORIDA	No
2	101YM0800X	Counselor	Mental Health	MH2109	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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