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MS. STEPHANIE NICHOLE LINCOLN LMHC

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

Registrant NPI Number: 1215123278

Individual Registrant:
MS. STEPHANIE NICHOLE LINCOLN LMHC
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: --

Contact information for business:
2389 S PONTE VEDRA BLVD  PONTE VEDRA BEACH, FL 32082-4519 US
Tel: 904-343-6298  Fax: --

Registration Information:
NPI: 1215123278
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
FLMH9174

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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