Individual provider · Type 1 NPI
Theresa Mago
Mental Health Counselor · Gainesville, FL
NPI number
1043596463
Active
Practice location
4300 SW 13th St
Gainesville, FL 32608-4006
Fax (352) 374-5608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1043596463
Theresa Mago's National Provider Identifier is 1043596463, issued on Oct 31, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gainesville, FL. The record was last updated on Oct 31, 2011.