Individual
CAROL MARIE STE CLAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.H.C.
Contact information
Practice address
820 TURTLE LAKE CT, PONTE VEDRA, FL 32082-4566
(904) 827-1899
(904) 827-1899
Mailing address
820 TURTLE LAKE CT, PONTE VEDRA, FL 32082-4566
(904) 827-1899
(904) 827-1899
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH4422
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z128U
BCBS
FL
Enumeration date
10/15/2006
Last updated
02/22/2011
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