| Valerie Deville, Lmhc | |
|
2706 Old Moultrie Rd St Augustine FL 32086-5447 | |
| (904) 540-2840 | |
| (904) 461-8368 |
| Full Name | Valerie Deville, Lmhc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2706 Old Moultrie Rd, St Augustine, Florida |
| Authorized Official Name and Position | Valerie Deville (OWNER/OPERATOR) |
| Authorized Official Contact | 9045402840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valerie Deville, Lmhc 112 Colon Ave St Augustine FL 32084-1271 Ph: (904) 540-2840 | Valerie Deville, Lmhc 2706 Old Moultrie Rd St Augustine FL 32086-5447 Ph: (904) 540-2840 |
| NPI Number | 1619264710 |
|---|---|
| Provider Enumeration Date | 07/09/2011 |
| Last Update Date | 07/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619264710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH8104 (Florida) | Primary |
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