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NPI Code Detail

MEDICARE: MS. ALISON LEE BEHRENS LMHC

MEDICARE:  MS. ALISON LEE BEHRENS  LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH4713FL

General Provider Information

NPI Number : 1639297179
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALISON LEE BEHRENS LMHC
Provider Business Mailing Address
First Line : 195 VISTA GRANDE DR
Second Line :
City : PONTE VEDRA BEACH
State : FL
Zip : 32082-1763
Country : US
Telephone Number : 904-280-9380
Fax Number :
Provider Business Practice Location Address
First Line : 2320 3RD ST S
Second Line : SUITE 12
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-4058
Country : US
Telephone Number : 904-247-1117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 07/08/2007

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