Individual provider · Type 1 NPI

David Leroy Hackney, L.M.H.C.

Mental Health Counselor · St. Augustine, FL

NPI number 1407946726 Active

Practice location

1100 S Ponce De Leon Blvd Ste 1
St. Augustine, FL 32084-6013

Call (904) 824-7733 Map

Fax (904) 829-9768

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH22 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1407946726

David Leroy Hackney, L.M.H.C.'s National Provider Identifier is 1407946726, issued on Oct 15, 2006. 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 Jul 8, 2007.