Individual
TINA ADRIANNA SCANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1903 ISLAND WALK WAY, FERNANDINA BEACH, FL 32034-4797
(904) 277-0027
Mailing address
322 BROOKLET CIR, SAINT MARYS, GA 31558-9061
(631) 742-6841
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH16125
FL
Other
Enumeration date
02/02/2018
Last updated
11/01/2019
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