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MS. STEPHANIE NICHOLE LINCOLN LMHC
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1215123278
Individual Registrant:MS. STEPHANIE NICHOLE LINCOLN LMHC
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
213 S US HIGHWAY 17 EAST PALATKA, FL 32131-4087 US
Tel: 904-343-6298 Fax: --
Tel: 904-343-6298 Fax: --
Contact information for business:
2389 S PONTE VEDRA BLVD PONTE VEDRA BEACH, FL 32082-4519 US
Tel: 904-343-6298 Fax: --
Tel: 904-343-6298 Fax: --
Registration Information:
NPI: 1215123278
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | FL | MH9174 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
