| Jacqueline Meredith Lmhc Llc | |
|
2 Dondanville Rd Unit 315 Saint Augustine FL 32080-7406 | |
| (904) 307-5906 | |
| Not Available |
| Full Name | Jacqueline Meredith Lmhc Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2 Dondanville Rd Unit 315, Saint Augustine, Florida |
| Authorized Official Name and Position | Jacqueline Meredith Lmhc Llc (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9043075906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Meredith Lmhc Llc 2 Dondanville Rd Unit 315 Saint Augustine FL 32080-7406 Ph: (904) 307-5906 | Jacqueline Meredith Lmhc Llc 2 Dondanville Rd Unit 315 Saint Augustine FL 32080-7406 Ph: (904) 307-5906 |
| NPI Number | 1033902739 |
|---|---|
| Provider Enumeration Date | 05/26/2025 |
| Last Update Date | 05/26/2025 |
| Certification Date | 05/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033902739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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