Individual provider · Type 1 NPI
Sherwood Wilson Pine Ii
Mental Health Counselor · Palatka, FL
NPI number
1497460745
Active
Practice location
1719 President St
Palatka, FL 32177-4944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH13866 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1497460745
Sherwood Wilson Pine Ii's National Provider Identifier is 1497460745, issued on Jan 20, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Palatka, FL. The record was last updated on Jan 20, 2023.