| Dba Jill St Aubin Lmhc | |
|
2872 57th St N St Petersburg FL 33710-2570 | |
| (727) 709-6962 | |
| (727) 344-8786 |
| Full Name | Dba Jill St Aubin Lmhc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2872 57th St N, St Petersburg, Florida |
| Authorized Official Name and Position | Jill R St Aubin (OWNER) |
| Authorized Official Contact | 7277096962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Jill St Aubin Lmhc 2872 57th St N St Petersburg FL 33710-2570 Ph: (727) 709-6962 | Dba Jill St Aubin Lmhc 2872 57th St N St Petersburg FL 33710-2570 Ph: (727) 709-6962 |
| NPI Number | 1366558330 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366558330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH 5811 (Florida) | Primary |
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