Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | MH-4276 | FL |
N | 101YM0800X | Mental Health Counselor | MH-4276 | FL |
N | 101YP1600X | Pastoral Counselor | MH-4276 | FL |
Y | 101YP2500X | Professional Counselor | MH-4276 | FL |
NPI | 1174098057 |
---|---|
Provider Name | Margaret Elizabeth Bernhart |
First Address | Neptune Beach, FL 32266-5060 |
Second Address | Neptune Beach, FL 32266 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2018 |
Last Update Date | 08/10/2018 |