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Individual

MISS CAROL A VISCONTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1747 BAPTIST CLAY DR, SUITE 350, FLEMING ISLAND, FL 32003-8502
(904) 376-3800
(904) 396-8966
Mailing address
PO BOX 748519, ATLANTA, GA 30374-8519
(904) 376-3800
(904) 376-3998

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13641
FL
103TC1900X
Counseling Psychologist

Other

Enumeration date
05/07/2009
Last updated
08/05/2022
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