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Individual

RICHARD SCOTT HERBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED., ED.S.

Contact information

Practice address
808 3RD ST, STE C, NEPTUNE BEACH, FL 32266-5081
(904) 247-5669
(904) 247-5642
Mailing address
808 3RD ST, STE C, NEPTUNE BEACH, FL 32266-5081
(904) 247-5669
(904) 247-5642

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT0001341
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z3223
BCBS OF FL
FL
Enumeration date
01/17/2007
Last updated
01/07/2017
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