Individual
AUBREY CANNATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 DELTONA BLVD, ST AUGUSTINE, FL 32086-4203
(404) 259-9866
Mailing address
25 DELTONA BLVD, ST AUGUSTINE, FL 32086-4203
(404) 259-9866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/29/2018
Last updated
12/29/2018
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