Individual
MRS. BRIDGET C HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2355 ROXBORO CT, DELAND, FL 32724-3272
(386) 804-0719
Mailing address
2355 ROXBORO CT, DELAND, FL 32724-9113
(386) 804-0719
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17970
FL
Other
Enumeration date
05/30/2020
Last updated
05/30/2020
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