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Individual

CARMEN JEAN PUPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LMHC

Contact information

Practice address
2659 GRANADA CIR E, ST PETERSBURG, FL 33712-3921
(727) 867-7876
Mailing address
2659 GRANADA CIR E, ST PETERSBURG, FL 33712-3921
(727) 867-7876

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH4944
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
766509100
FL
Enumeration date
01/08/2007
Last updated
08/13/2020
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