Individual
MS. ABBIE CONRAD JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1730 DUNLAWTON AVE, PORT ORANGE, FL 32127-8985
(386) 957-3905
(386) 402-8992
Mailing address
1730 DUNLAWTON AVE, PORT ORANGE, FL 32127-8985
(386) 957-3905
(386) 238-2019
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH7460
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766925900
—
FL
Enumeration date
04/07/2011
Last updated
12/29/2020
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