| Kassandra Mccune Enterprises, Inc | |
|
88 Riberia St Suite 150 Saint Augustine FL 32084-3300 | |
| (904) 392-9188 | |
| Not Available |
| Full Name | Kassandra Mccune Enterprises, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 88 Riberia St, Saint Augustine, Florida |
| Authorized Official Name and Position | Kassandra Shugars Mccune (PRESIDENT) |
| Authorized Official Contact | 9043929188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kassandra Mccune Enterprises, Inc 38 Grant St Saint Augustine FL 32084-2746 Ph: () - | Kassandra Mccune Enterprises, Inc 88 Riberia St Suite 150 Saint Augustine FL 32084-3300 Ph: (904) 392-9188 |
| NPI Number | 1679961403 |
|---|---|
| Provider Enumeration Date | 01/01/2015 |
| Last Update Date | 01/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679961403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH10498 (Florida) | Primary |
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