Contact Us
- Map
- Contact Information
Substance Abuse Treatment
Counseling Services
Resources
Staff
- Meet Our Staff
Testimonials
Outcome Measures

(904) 419-6102 | Breakthroughscounseling@gmail.com

Breakthroughs Counseling & Therapy | Jacksonville, FL

Don't Wait to Get the Help You Need Contact Us

Authorization for Release of Information copy

September 1, 2016 by RKLWR8734 Leave a Comment

Authorization for Release of Information copy

3810-3 Williamsburg Park Blvd.
Jacksonville, FL 32257

(904) 419-6102
Breakthroughscounseling@gmail.com

Send a Message

Name *

Phone *

E-mail

Questions?

Terms of Use *

Yes, I want to submit this form

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

Message

A Bright Site by Brighter Vision