| Bob Mcqueen, Lmhc | |
|
1950 Miller St Ste 6 Orange Park FL 32073-4760 | |
| (904) 269-5356 | |
| (904) 269-2088 |
| Full Name | Bob Mcqueen, Lmhc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1950 Miller St Ste 6, Orange Park, Florida |
| Authorized Official Name and Position | Bob Mcqueen (PRESIDENT) |
| Authorized Official Contact | 9042695356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bob Mcqueen, Lmhc 11154 Wethersfield Ct Jacksonville FL 32257-4524 Ph: (904) 269-5356 | Bob Mcqueen, Lmhc 1950 Miller St Ste 6 Orange Park FL 32073-4760 Ph: (904) 269-5356 |
| NPI Number | 1356499917 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356499917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1808 (Florida) | Primary |
| 101YM0800X | Counselor - Mental Health | MH-4271 (Florida) | Primary |
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