Individual provider · Type 1 NPI

Larry Charles Sargent, MA

Mental Health Counselor · St. Augustine, FL

NPI number 1659658748 Active

Practice location

167 Palencia Village Dr Ste 101
St. Augustine, FL 32095-8450

Call (904) 224-5108 Map

Mailing address

167 Palencia Village Drive Suite 101
St. Augustine, FL 32095

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XIMT 1254 (FL)
Mental Health Counselor Primary 101YM0800XIMH 7278 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1659658748

Larry Charles Sargent, MA's National Provider Identifier is 1659658748, issued on Nov 3, 2011. 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 Nov 3, 2011.