JACQUELINE LEIGH (PREFERRED) MATHIS

ST AUGUSTINE, FL
NPI1194512293
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  IMH25564)
Enumeration Date2025-04-22
Last Update Date2025-04-22
Business Address
JACQUELINE LEIGH (PREFERRED) MATHIS Registered Intern
100 E TOWN PL UNIT 207
ST AUGUSTINE, FL 32092-0664
Phone number: 850-629-8242
Mailing Address
JACQUELINE LEIGH (PREFERRED) MATHIS Registered Intern
2872 N 1ST ST
ST AUGUSTINE, FL 32084-1942
Phone number: 561-676-2529