| Mr Cletus Leon Deller, LMHC INTERN | |
| 
					96173 Piney Island Dr, Fernandina Beach, FL 32034-0858  | |
| (772) 321-3306 | |
| Not Available | 
| Full Name | Mr Cletus Leon Deller | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Mental Health | 
| Location | 96173 Piney Island Dr, Fernandina Beach, Florida | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1912204470 | NPI | - | NPPES | 
| MH10772 | Other | FL | MENTAL HEALTH LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH10772 (Florida) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Cletus Leon Deller, LMHC INTERN 96173 Piney Island Dr, Fernandina Beach, FL 32034-0858 Ph: (772) 321-3306  | Mr Cletus Leon Deller, LMHC INTERN 96173 Piney Island Dr, Fernandina Beach, FL 32034-0858 Ph: (772) 321-3306  | 
Janet White,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 S 8th St, Suite 300, Fernandina Beach, FL 32034 Phone: 904-491-2001 Fax: 904-491-2017  | |
Mr. Barton Bott, MH Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 S 8th St, Suite 121, Fernandina Beach, FL 32034 Phone: 904-432-8603  | |
Mrs. Melinda Baskin Sullivan, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 S. 8th Street, Suite 124, Fernandina Beach, FL 32034 Phone: 904-557-1006  | |
Mr. Jerald Craig Holland, M.ED., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Centre St, Suite 117, Fernandina Beach, FL 32034 Phone: 904-753-1563 Fax: 904-491-0477  | |
Patrick M. Herwig,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1903 Island Walk Way, Fernandina Beach, FL 32034 Phone: 904-277-0027  | |
Mrs. Angela L Michels, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1890 S. 14th St., #302, Fernandina Beach, FL 32034 Phone: 904-557-8618 Fax: 888-463-2798  | |
Brooke Leigh Rimondi, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 S 15th St, Fernandina Beach, FL 32034 Phone: 904-338-3708  |