Individual provider · Type 1 NPI

Betty Carvajal-Pantaleon, MS, PhD

Mental Health Counselor · St. Augustine, FL

NPI number 1356614960 Active

Practice location

1100 Plantation Island Dr S, Ste 140
St. Augustine, FL 32080-5173

Call (904) 392-5434 Map

Fax (904) 471-0074

Mailing address

PO Box 3123
St. Augustine, FL 32085-3123

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH11064 (FL)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1356614960

Betty Carvajal-Pantaleon, MS, PhD's National Provider Identifier is 1356614960, issued on Feb 13, 2012. 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 20, 2014.