Individual
MR. BARTON BOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MH
Contact information
Practice address
910 S 8TH ST, SUITE 121, FERNANDINA BEACH, FL 32034-3744
(904) 432-8603
Mailing address
2478 1ST AVE, A, FERNANDINA BEACH, FL 32034-6386
(904) 432-8603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH6275
FL
Other
Enumeration date
07/26/2016
Last updated
08/09/2016
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