Pupo, Carmen Jean
Pupo, Carmen Jean is an individual health care provider with primary practice located at 2659 Granada Cir E , St Petersburg FL 33712-3921. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pupo, Carmen Jean can be contacted via phone (727) 867-7876.Contact Information
Primary practice address
2659 Granada Cir E
St Petersburg FL 33712-3921
Phone: (727) 867-7876
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH4944 | Florida |
Profile Details
| NPI number | 1720136872 |
|---|---|
| LBN Legal business name | Pupo, Carmen Jean |
| Credentials | MS, LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Aug 13th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720136872 | NPPES |
| Florida | MEDICAID | 766509100 |
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