DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELINE LEIGH (PREFERRED) MATHIS, REGISTERED INTERN

Active

JACQUELINE LEIGH (PREFERRED) MATHIS, REGISTERED INTERN is a Mental Health Counselor healthcare provider located in ST AUGUSTINE, Florida. NPI 1194512293 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · ST AUGUSTINE, FL

Registration Details

NPI Number
1194512293
Provider Type
Individual
Gender
Female
NPI Issued
Apr 22, 2025 (1.2867115759293 yrs)
Last Updated
Apr 22, 2025
License
IMH25564 (FL)

Practice Information

Address
100 E TOWN PL UNIT 207
ST AUGUSTINE, FL, 320920664
Browse FL providers · Browse ZIP 32092
Phone
8506298242
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in ST AUGUSTINE, FL

Name Credential NPI
LISA ANN JOHNSON BA 1437148962
ALLISON LENORE WALSH BA 1689663122
MRS. SANDRA JACKSON LMHC 1356330765
DEBORAH DUNGAN LMHC 1841289071
MR. JAMES HARWOOD CRAGGS III LMHC 1912980095
MS. NICOLLE M BAUER LMHC 1588642987
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.