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Full Connections Counseling

Community/Behavioral Health Agency in Orange Park, FL · enumerated 2019 · authorized official Domonique Jackson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790340065

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Registry record

Entity type Organization (Type 2)
Legal business name Full Connections Counseling
Practice address 752 Blanding Blvd Ste 130, Orange Park, FL, 32065
Enumeration date May 2, 2019
Last updated in NPPES Jun 25, 2020

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Domonique Jackson
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-06-25. Verify at npiregistry.cms.hhs.gov.
Where is Full Connections Counseling located?
The practice location on file with NPPES is in Orange Park, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-06-25.