Organization · Type 2 NPI

Modern Therapy & Counseling, LLC

Mental Health Counselor · St. Augustine, FL

NPI number 1083169478 Active

Practice location

88 Riberia St, Suite 150
St. Augustine, FL 32084-3300

Mailing address

4071 New Hampshire Rd
Elkton, FL 32033-2124

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH14185 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1083169478

Modern Therapy & Counseling, LLC's National Provider Identifier is 1083169478, issued on Aug 16, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Augustine, FL. The record was last updated on Aug 16, 2016.