Individual
LOUISE OSBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM, LMHC
Contact information
Practice address
205 SHIRLEYS WAY, ST AUGUSTINE, FL 32086-5888
(904) 349-5993
Mailing address
205 SHIRLEYS WAY STE 104, ST AUGUSTINE, FL 32086-5888
(904) 349-5993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH14826
FL
176B00000X
Midwife
Primary
MW438
FL
Other
Enumeration date
09/25/2014
Last updated
10/10/2022
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