person
Pauleetta Lynn Whittaker, MS,LMHCA
Mental Health Counselor in Bunnell, Florida
NPI 1710433354

Pauleetta Lynn Whittaker is a Mental Health Counselor based in St Augustine Beach, FL and is specialized in Mental Health. Pauleetta Lynn Whittaker practices in Bunnell, FL and has the professional credentials of MS,LMHCA. The NPI Number for Pauleetta Lynn Whittaker is 1710433354 and holds a License No. MH17090 (Florida).

The current practice location address for Pauleetta Lynn Whittaker is 4721 E Moody Blvd Ste 204, Bunnell, FL and can be reached out via phone at 386-793-9669 and via fax at 386-256-1761. You can also correspond with Pauleetta Lynn Whittaker through the mailing address at 208 8TH ST UNIT A, ST AUGUSTINE BEACH, FL - 32080-6351 (mailing address contact number: 317-443-5928).

Location: 4721 E Moody Blvd Ste 204, Bunnell, FL, 32080-6351
person
Provider Profile Details
NPI Number
1710433354
Provider Name
Pauleetta Lynn Whittaker
Credential
MS,LMHCA
Provider Entity Type
Individual
Gender
Female
Address
4721 E Moody Blvd Ste 204, Bunnell, FL, 32080-6351
Phone Number
386-793-9669
Fax Number
386-256-1761
Provider Enumeration Date
09/01/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201359450 05 IN
institution
Provider Business Practice Location Address Details
Address
4721 E Moody Blvd Ste 204
City
State
Zip
32110-7706
Phone Number
386-793-9669
Fax Number
386-256-1761
person
Provider Business Mailing Address Details
Address
4721 E Moody Blvd Ste 204
City
State
Zip
32110-7706
Phone Number
386-793-9669
Fax Number
386-256-1761
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH17090 (Florida)
Definition
Definition to come...
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