Individual provider · Type 1 NPI

Mario E. Decunto

Mental Health Counselor · Jacksonville, FL

NPI number 1730512773 Active

Practice location

5776 Saint Augustine Rd
Jacksonville, FL 32207-8030

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH9607 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1730512773

Mario E. Decunto's National Provider Identifier is 1730512773, issued on Aug 13, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 13, 2013.