Jacqueline Leigh (Preferred) Mathis, REGISTEREDINTERN
Jacqueline Leigh (Preferred) Mathis, REGISTEREDINTERN is a Mental Health Counselor in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2025.
- Licensed in
- FL
- In the registry since
- 2025
Practice location Address checks out
319 W Town Pl Ste 21St Augustine, FL 32092-3103
Phone: (904) 640-9099
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence MH27996 (FL) |
|---|
Record details
| NPI number | 1194512293 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | REGISTEREDINTERN |
| Sole proprietor | No |
| NPI enumerated | April 22, 2025 |
| Last updated in NPPES | July 1, 2026 |
| Certification date | July 1, 2026 |
| Mailing address | 2872 N 1st St, St Augustine, FL 32084-1942 |
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