| Nicolle M Bauer Lmhc | |
|
2200 N Ponce De Leon Blvd Ste 3 St Augustine FL 32084-2600 | |
| (904) 501-8270 | |
| (904) 819-5330 |
| Full Name | Nicolle M Bauer Lmhc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2200 N Ponce De Leon Blvd, St Augustine, Florida |
| Authorized Official Name and Position | Nicolle M Bauer (OWNER) |
| Authorized Official Contact | 9045018270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicolle M Bauer Lmhc 2200 N Ponce De Leon Blvd Ste 3 St Augustine FL 32084-2600 Ph: (904) 501-8270 | Nicolle M Bauer Lmhc 2200 N Ponce De Leon Blvd Ste 3 St Augustine FL 32084-2600 Ph: (904) 501-8270 |
| NPI Number | 1982140307 |
|---|---|
| Provider Enumeration Date | 01/09/2017 |
| Last Update Date | 01/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982140307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH6243 (Florida) | Primary |
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