Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Cletus Leon Deller, LMHCINTERN

Individual provider Mental Health Counselor · NPI 1912204470

Mr. Cletus Leon Deller, LMHCINTERN is a Mental Health Counselor in Fernandina Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2011

Practice location Address checks out

96173 Piney Island Dr
Fernandina Beach, FL 32034-0858
Phone: (772) 321-3306
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH10772 (FL)

Record details

NPI number1912204470
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHCINTERN
Sole proprietorYes
NPI enumeratedFebruary 18, 2011
Last updated in NPPESJuly 5, 2011

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