Individual provider · Type 1 NPI
Gabrielle Lane Castaneda, LMHC
Mental Health Counselor · St. Augustine, FL
NPI number
1568230522
Active
Practice location
200 Health Park Blvd Ste 212
St. Augustine, FL 32086-5791
Fax (904) 819-4041
Mailing address
235 Coquina Ave
St. Augustine, FL 32080-5321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 22081 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1568230522
Gabrielle Lane Castaneda, LMHC's National Provider Identifier is 1568230522, issued on Dec 19, 2023. 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 Dec 19, 2023.