Pupo, Carmen Jean

Pupo, Carmen Jean is an individual health care provider with primary practice located at 2659 Granada Cir E , St Petersburg FL 33712-3921. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pupo, Carmen Jean can be contacted via phone (727) 867-7876.

Contact Information

Primary practice address
2659 Granada Cir E St Petersburg FL 33712-3921
Phone: (727) 867-7876
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH4944 Florida

Profile Details

NPI number 1720136872
LBN Legal business name Pupo, Carmen Jean
Credentials MS, LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 13th, 2020 - about 4 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 1720136872 NPPES
Florida MEDICAID 766509100

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