(800) 868-1923

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