LARRY CHARLES SARGENT

ST AUGUSTINE, FL
NPI1659658748
Professional NameLARRY SARGENT
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  IMH 7278)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: FL  IMT 1254)
Enumeration Date2011-11-03
Last Update Date2011-11-03
Business Address
-- LARRY CHARLES SARGENT MA
167 PALENCIA VILLAGE DR STE 101
ST AUGUSTINE, FL 32095-8450
Phone number: 904-224-5108
Mailing Address
-- LARRY CHARLES SARGENT MA
167 PALENCIA VILLAGE DRIVE SUITE 101
ST. AUGUSTINE, FL 32095
Phone number: 904-224-5108