Bob Mcqueen, Lmhc

NPI 1356499917 - Counselor - 101YA0400X

NPI Details
NPI 1356499917
Enumeration Date 01/08/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BOB BOB
Position PRESIDENT
Phone (904) 269-5356
Fax (904) 269-2088
Practice Location
1950 MILLER ST STE 6
ORANGE PARK FL, 32073-4760, US
Phone (904) 269-5356
Fax (904) 269-2088
Business Location
11154 WETHERSFIELD CT
JACKSONVILLE FL, 32257-4524, US
Phone (904) 269-5356
Fax (904) 269-2088
Toxanomy
Taxonomy Code 101YA0400X
License State Florida
License Number 1808
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According to our database, Bob Mcqueen, Lmhc NPI is 1356499917, taxonomy code is 101YA0400X and license number is 1808, license state is located at Florida. Bob Mcqueen, Lmhc physically located at 1950 Miller St Ste 6, Orange Park FL, 32073-4760. NPI Number 1033115704 has the healthcare provider type.

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1356499917 NPI number is provided on an as is basis without warranty of any kind. 1356499917 is maintained by the National Plan & Provider Enumeration System. The contents of Bob Mcqueen, Lmhc are for informational purposes only.