Individual provider · Type 1 NPI

Bentley Dusablon

Mental Health Counselor · St. Johns, FL

NPI number 1336009869 Active

Practice location

366 Footbridge Rd
St. Johns, FL 32259-8787

Call (858) 752-3077 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1336009869

Bentley Dusablon's National Provider Identifier is 1336009869, issued on Nov 17, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Johns, FL. The record was last updated on Nov 17, 2025.