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Organization
NICOLLE M BAUER LMHC
Active
Organization
NICOLLE M BAUER LMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLLE M BAUER LMHC (OWNER)
(904) 501-8270
Entity
Organization
Contact information
Practice address
2200 N PONCE DE LEON BLVD, STE 3, ST AUGUSTINE, FL 32084-2600
(904) 501-8270
(904) 819-5330
Mailing address
2200 N PONCE DE LEON BLVD, STE 3, ST AUGUSTINE, FL 32084-2600
(904) 501-8270
(904) 819-5330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH6243
FL
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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