Avesato, Karen Ann

Avesato, Karen Ann is an individual health care provider with primary practice located at 4250 Lakeside Dr Suite 116, Jacksonville FL 32210-3358. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Avesato, Karen Ann can be contacted via phone (904) 807-1228.

Contact Information

Primary practice address
4250 Lakeside Dr Suite 116 Jacksonville FL 32210-3358
Phone: (904) 807-1228
Fax: (904) 807-1220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW7401 Florida

Profile Details

NPI number 1588653984
LBN Legal business name Avesato, Karen Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jul 23rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588653984 NPPES
Florida MEDICAID 76657500
Florida Other Z086H

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