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Pia Maria Ristaino, LMHC
Mental Health Counselor in Jacksonville, Florida
NPI 1164605572

Pia Maria Ristaino is a Mental Health Counselor based in Atlanta, FL and is specialized in Mental Health. Pia Maria Ristaino practices in Jacksonville, FL and has the professional credentials of LMHC. The NPI Number for Pia Maria Ristaino is 1164605572 and holds a License No. LCA376 (Florida).

The current practice location address for Pia Maria Ristaino is 14540 Old Saint Augustine Rd Ste 2591, Jacksonville, FL and can be reached out via phone at 904-376-3800 and via fax at 904-376-3998.

Location: 14540 Old Saint Augustine Rd Ste 2591, Jacksonville, FL, 30374-8519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164605572
Provider Name
Pia Maria Ristaino
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
14540 Old Saint Augustine Rd Ste 2591, Jacksonville, FL, 30374-8519
Phone Number
904-376-3800
Fax Number
904-376-3998
Provider Enumeration Date
12/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
406755000 05 MD
institution
Provider Business Practice Location Address Details
Address
14540 Old Saint Augustine Rd Ste 2591
City
Jacksonville
State
Florida
Zip
32258-7420
Phone Number
904-376-3800
Fax Number
904-376-3998
person
Provider Business Mailing Address Details
Address
14540 Old Saint Augustine Rd Ste 2591
City
Jacksonville
State
Florida
Zip
32258-7420
Phone Number
904-376-3800
Fax Number
904-376-3998
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LMHC181169 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LCA376 (Maryland)
Definition
Definition to come...
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