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Willie Ralph Lott, LMHC
Mental Health Counselor in Jacksonville, Florida
NPI 1578613402

Willie Ralph Lott is a Mental Health Counselor based in Jacksonville, FL and is specialized in Mental Health. Willie Ralph Lott practices in Jacksonville, FL and has the professional credentials of LMHC. The NPI Number for Willie Ralph Lott is 1578613402 and holds a License No. MH 6555 (Florida).

The current practice location address for Willie Ralph Lott is 5776 Saint Augustine Rd, Jacksonville, FL and can be reached out via phone at 904-448-4700.

Location: 5776 Saint Augustine Rd, Jacksonville, FL, 32211-6203
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Provider Profile Details
NPI Number
1578613402
Provider Name
Willie Ralph Lott
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
5776 Saint Augustine Rd, Jacksonville, FL, 32211-6203
Phone Number
904-448-4700
Fax Number
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH 6555 01 FL LICENSE
institution
Provider Business Practice Location Address Details
Address
5776 Saint Augustine Rd
City
State
Zip
32207-8030
Phone Number
904-448-4700
Fax Number
person
Provider Business Mailing Address Details
Address
5776 Saint Augustine Rd
City
State
Zip
32207-8030
Phone Number
904-448-4700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH 6555 (Florida)
Definition
Definition to come...
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