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Paige Shadden
Mental Health Counselor in St Augustine, Florida
NPI 1295410900

Paige Shadden is a Mental Health Counselor based in St Augustine, FL and is specialized in Mental Health. Paige Shadden practices in St Augustine, FL. The NPI Number for Paige Shadden is 1295410900 and holds a License No. (Florida).

The current practice location address for Paige Shadden is 495 Prosperity Lake Dr Ste 101, St Augustine, FL and can be reached out via phone at 904-370-3420.

Location: 495 Prosperity Lake Dr Ste 101, St Augustine, FL, 32092-5045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295410900
Provider Name
Paige Shadden
Credential
Provider Entity Type
Individual
Gender
Female
Address
495 Prosperity Lake Dr Ste 101, St Augustine, FL, 32092-5045
Phone Number
904-370-3420
Fax Number
Provider Enumeration Date
06/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
495 Prosperity Lake Dr Ste 101
City
St Augustine
State
Florida
Zip
32092-5045
Phone Number
904-370-3420
Fax Number
person
Provider Business Mailing Address Details
Address
495 Prosperity Lake Dr Ste 101
City
St Augustine
State
Florida
Zip
32092-5045
Phone Number
904-370-3420
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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