Dungan, Deborah

Dungan, Deborah is an sole proprietor health care provider with primary practice located at 1100 S Ponce De Leon Blvd , St Augustine FL 32084-6099. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Dungan, Deborah can be contacted via phone (904) 824-7733.

Contact Information

Primary practice address
1100 S Ponce De Leon Blvd St Augustine FL 32084-6099
Phone: (904) 824-7733
Fax: (904) 829-9768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH4095 Florida

Profile Details

NPI number 1841289071
LBN Legal business name Dungan, Deborah
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2005
Last updated Feb 2nd, 2012 - 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 1841289071 NPPES
Florida Other Z7696 BCBS
Florida MEDICAID 762875700 BCBS

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