Individual provider · Type 1 NPI

Willie Ralph Lott, LMHC

Mental Health Counselor · Jacksonville, FL

NPI number 1578613402 Active

Practice location

5776 Saint Augustine Rd
Jacksonville, FL 32207-8030

Mailing address

1045 Carlotta Rd E
Jacksonville, FL 32211-6203

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH 6555 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1578613402

Willie Ralph Lott, LMHC's National Provider Identifier is 1578613402, issued on Jan 11, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 8, 2007.