CLETUS LEON DELLER

FERNANDINA BEACH, FL
NPI1912204470
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH10772)
Enumeration Date2011-02-18
Last Update Date2011-07-05
Business Address
Mr. CLETUS LEON DELLER LMHC Intern
96173 PINEY ISLAND DR
FERNANDINA BEACH, FL 32034-0858
Phone number: 772-321-3306
Mailing Address
Mr. CLETUS LEON DELLER LMHC Intern
96173 PINEY ISLAND DR
FERNANDINA BEACH, FL 32034-0858
Phone number: 772-321-3306
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