Individual
BARBARA JEAN HAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
550 REMINGTON GREEN DR SE UNIT 103, PALM BAY, FL 32909-6873
(815) 494-9678
Mailing address
550 REMINGTON GREEN DR SE UNIT 103, PALM BAY, FL 32909-6873
(815) 494-9678
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PMH1535
FL
101YP2500X
Professional Counselor
Primary
180005831
IL
Other
Enumeration date
01/10/2007
Last updated
10/02/2018
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