Michelle Dunn Counseling | |
443 Fox Water Trl Saint Augustine FL 32086-8418 | |
(904) 671-6955 | |
Not Available |
Full Name | Michelle Dunn Counseling |
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Speciality | Social Worker |
Location | 443 Fox Water Trl, Saint Augustine, Florida |
Authorized Official Name and Position | Michelle Dunn (OWNER) |
Authorized Official Contact | 9046716955 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michelle Dunn Counseling 443 Fox Water Trl Saint Augustine FL 32086-8418 Ph: () - | Michelle Dunn Counseling 443 Fox Water Trl Saint Augustine FL 32086-8418 Ph: (904) 671-6955 |
NPI Number | 1588263503 |
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Provider Enumeration Date | 10/21/2020 |
Last Update Date | 10/21/2020 |
Certification Date | 10/21/2020 |
Medicare PECOS PAC ID | 9032522685 |
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Medicare Enrollment ID | O20201229000471 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588263503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Michelle Dunn |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265566079 PECOS PAC ID: 5092128645 Enrollment ID: I20201229000742 |
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