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JESSICA S ARCHIQUETTE LMHC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1023581147

Individual Registrant:
 JESSICA S ARCHIQUETTE LMHC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4024 CENTRAL AVE  SAINT PETERSBURG, FL 33711-1239 US
Tel: 727-327-7656  Fax: 727-322-2110

Contact information for business:
PO BOX 10970  SAINT PETERSBURG, FL 33733-0970 US
Tel: 727-327-7656  Fax: 727-322-2110

Registration Information:
NPI: 1023581147
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
FL

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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