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Jerry Wayne Lawson JR., LMHC
Mental Health Counselor in Satellite Beach, Florida
NPI 1942819024

Jerry Wayne Lawson JR. is a Mental Health Counselor based in Melbourne, FL and is specialized in Mental Health. Jerry Wayne Lawson JR. practices in Satellite Beach, FL and has the professional credentials of LMHC. The NPI Number for Jerry Wayne Lawson JR. is 1942819024 and holds a License No. MH18237 (Florida).

The current practice location address for Jerry Wayne Lawson JR. is 1363 Highway A1A, Satellite Beach, FL and can be reached out via phone at 321-777-0119.

Location: 1363 Highway A1A, Satellite Beach, FL, 32935-4617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942819024
Provider Name
Jerry Wayne Lawson JR.
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
1363 Highway A1A, Satellite Beach, FL, 32935-4617
Phone Number
321-777-0119
Fax Number
Provider Enumeration Date
07/24/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH18237 01 FL INSURANCE
institution
Provider Business Practice Location Address Details
Address
1363 Highway A1A
City
Satellite Beach
State
Florida
Zip
32937-2407
Phone Number
321-777-0119
Fax Number
person
Provider Business Mailing Address Details
Address
1363 Highway A1A
City
Satellite Beach
State
Florida
Zip
32937-2407
Phone Number
321-777-0119
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
MH18237 (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.
MH18237 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
MH18237 (Florida)
Definition
Definition to come...
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