Individual
ABIGAIL CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 NW CENTRAL PARK PLZ STE 110, PORT ST LUCIE, FL 34986-1825
(772) 248-4308
Mailing address
1137 SW GAFFNEY AVE, PORT ST LUCIE, FL 34953-6829
(772) 475-2447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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