John Roger Rebillot
Mental Health Counselor
141 Mack Bayou Loop Suite 201
Santa Rosa Beach
, Florida 32459-7194
John Roger Rebillot
Mental Health Counselor
141 Mack Bayou Loop Suite 201
Santa Rosa Beach
, Florida 32459-7194
(727) 825-0751
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- John Roger Rebillot
- 255 13th Ave Ne
- St Petersburg, FL
- Zip : 33701-1211
- Phone : (727) 825-0751
Second Address
- John Roger Rebillot
- 141 Mack Bayou Loop Suite 201
- Santa Rosa Beach, FL
- Zip : 32459-7194
- Fax : (850) 267-0034
- Phone : (850) 267-0030
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | MH915 | FL |
National Provider Identifier
| NPI | 1003045105 |
|---|---|
| Provider Name | John Roger Rebillot |
| First Address | St Petersburg, FL 33701-1211 |
| Second Address | Santa Rosa Beach, FL 32459-7194 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2009 |
| Last Update Date | 09/07/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.