| NPI | 1093172454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SHAYNE BILLMAN Psychotherapist 904-885-4713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12878) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |