Individual provider · Type 1 NPI

Pauline A. Fenzau, LMHC, PhD

Mental Health Counselor · St. Petersburg, FL

NPI number 1568472017 Active

Practice location

4024 Central Ave
St. Petersburg, FL 33711-1239

Fax (727) 327-0566

Mailing address

5829 18th Ave S
Gulfport, FL 33707-4005

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH4291 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1568472017

Pauline A. Fenzau, LMHC, PhD's National Provider Identifier is 1568472017, issued on Aug 8, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 8, 2007.