Unknown Individual – Mental Health Counselor, NPI 1245309210
Mental Health Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1100 S PONCE DE LEON BLVD STE 1
ST AUGUSTINE, FL 320846013
Phone: (904) 824-7733
Fax: (904) 829-9768
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32084)
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