Individual
MS. BETTY E LUSTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED/LMHC
Contact information
Practice address
4280 REDTAIL HAWK DR, JACKSONVILLE, FL 32257-8116
(786) 258-2819
Mailing address
4280 REDTAIL HAWK DR, JACKSONVILLE, FL 32257-8116
(786) 258-2819
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0000606
FL
Other
Enumeration date
02/11/2020
Last updated
02/12/2020
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