person
Betty Carvajal-pantaleon, MS,PHD
Mental Health Counselor in St Augustine, Florida
NPI 1356614960

Betty Carvajal-pantaleon is a Mental Health Counselor based in St Augustine, FL and is specialized in Mental Health. Betty Carvajal-pantaleon practices in St Augustine, FL and has the professional credentials of MS,PHD. The NPI Number for Betty Carvajal-pantaleon is 1356614960 and holds a License No. MH11064 (Florida).

The current practice location address for Betty Carvajal-pantaleon is 1100 Plantation Island Dr S, St Augustine, FL and can be reached out via phone at 904-392-5434 and via fax at 904-471-0074.

Location: 1100 Plantation Island Dr S, St Augustine, FL, 32085-3123
person
Provider Profile Details
NPI Number
1356614960
Provider Name
Betty Carvajal-pantaleon
Credential
MS,PHD
Provider Entity Type
Individual
Gender
Female
Address
1100 Plantation Island Dr S, St Augustine, FL, 32085-3123
Phone Number
904-392-5434
Fax Number
904-471-0074
Provider Enumeration Date
02/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z04JF 01 FL NEW DIRECTIONS / FL BLUE
institution
Provider Business Practice Location Address Details
Address
1100 Plantation Island Dr S
City
State
Zip
32080-5173
Phone Number
904-392-5434
Fax Number
904-471-0074
person
Provider Business Mailing Address Details
Address
1100 Plantation Island Dr S
City
State
Zip
32080-5173
Phone Number
904-392-5434
Fax Number
904-471-0074
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH11064 (Florida)
Definition
Definition to come...
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