Kathleen Patneau | |
6000a Sawgrass Village Cir Ponte Vedra FL 32082-5011 | |
(904) 614-0241 | |
Not Available |
Full Name | Kathleen Patneau |
---|---|
Speciality | Counselor - Mental Health |
Location | 6000a Sawgrass Village Cir, Ponte Vedra, Florida |
Authorized Official Name and Position | Kathleen Patneau (OWNER) |
Authorized Official Contact | 9046140241 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kathleen Patneau Po Box 2711 Ponte Vedra FL 32004-2711 Ph: () - | Kathleen Patneau 6000a Sawgrass Village Cir Ponte Vedra FL 32082-5011 Ph: (904) 614-0241 |
NPI Number | 1376271171 |
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Provider Enumeration Date | 08/10/2022 |
Last Update Date | 08/10/2022 |
Certification Date | 08/10/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376271171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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