Most Relevant Information
Provider Data
| NPI Number: | 1003427550 |
| Provider Name: | RAJA BASHITI LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MH18262 |
Most Important Dates
| Enumeration Date: | 08/10/2020 |
| Last Updated: | 08/10/2020 |
Provider Practice Location
11363 SAN JOSE BLVD STE 100
JACKSONVILLE
FL
322237958
Practice Location Phone/Fax
| Phone: | 8887932304 |
| Fax: | 8887932304 |
Provider Mailing Location
11363 SAN JOSE BLVD STE 100
JACKSONVILLE
FL
322237958
Provider Mailing Phone/Fax
| Phone: | 8887932304 |
| Fax: | 8887932304 |