Individual provider · Type 1 NPI
David Edwin Roddenberry
Mental Health Counselor · St. Augustine, FL
NPI number
1962217489
Active
Practice location
109 Nature Walk Pkwy Unit 104
St. Augustine, FL 32092-5065
Mailing address
24 Seahill Dr
St. Augustine, FL 32092-1112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH25268 (FL) |
Mental Health Counselor: Definition to come...
3 other providers at this address
Other mental health counselor providers in St. Augustine
- Ashley Janz, LMHCMental Health Counselor St. Augustine, FL NPI 1003573601
- Lisa Britt, LMHCMental Health Counselor St. Augustine, FL NPI 1023246030
- Crystal DeanMental Health Counselor St. Augustine, FL NPI 1023767993
- Jane G. Koike, MAMental Health Counselor St. Augustine, FL NPI 1023879806
- Katie Mignon, RMHCIMental Health Counselor St. Augustine, FL NPI 1023989688
- Breanna Mercedes Hodges, LMHCMental Health Counselor St. Augustine, FL NPI 1033032453
- Melanie Leigh Weis, PhDMental Health Counselor St. Augustine, FL NPI 1033307756
- Nancy Frances Bent, ED.D.Mental Health Counselor St. Augustine, FL NPI 1033672407
About NPI 1962217489
David Edwin Roddenberry's National Provider Identifier is 1962217489, issued on Feb 11, 2025. 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 Mar 4, 2025.