Individual
PAULA PORTERFIELD-IZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2794 LONG BOAT DR, FERNANDINA BEACH, FL 32034-6004
(904) 955-2586
Mailing address
2794 LONG BOAT DR, FERNANDINA BEACH, FL 32034-6004
(904) 955-2586
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH3339
FL
Other
Enumeration date
07/13/2006
Last updated
07/08/2010
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