Organization
AGATE HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL ANITA JAMES M.A. IN COUNSELING (LICENSED MENTAL HEALTH COUNSELOR)
(419) 344-8324
Entity
Organization
Contact information
Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(904) 326-3667
Mailing address
7901 4TH ST N, ST PETERSBURG, FL 33702-4305
(904) 326-9667
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
06/25/2021
Last updated
01/08/2022
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