Individual
REBECCA MARTIN LACHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC LMFT
Contact information
Practice address
4595 LEXINGTON AVE, JACKSONVILLE, FL 32210-2058
(904) 448-4700
(904) 783-1901
Mailing address
4595 LEXINGTON AVE, JACKSONVILLE, FL 32210-2058
(904) 448-4700
(904) 783-1901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH 10072
FL
106H00000X
Marriage & Family Therapist
Primary
MT 2468
FL
Other
Enumeration date
10/22/2007
Last updated
08/26/2013
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