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Individual

CHRISTINA LYNN PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
3574 US 1 S, UNIT 113, ST AUGUSTINE, FL 32086-6466
(904) 797-3115
(904) 797-2915
Mailing address
3574 US 1 S, UNIT 113, ST AUGUSTINE, FL 32086-6466
(904) 797-3115
(904) 797-2915

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH8666
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
767655700
FL
01
Z119N
BCBS OF FL
FL
Enumeration date
08/08/2006
Last updated
09/21/2010
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