Most Relevant Information
Provider Data
| NPI Number: | 1003695099 |
| Provider Name: | NOEL JASON HARTOUGH LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MH22574 |
Most Important Dates
| Enumeration Date: | 09/27/2023 |
| Last Updated: | 09/27/2023 |
Provider Practice Location
3050 W HIGHWAY 98 UNIT C53
PORT ST JOE
FL
324564724
Practice Location Phone/Fax
| Phone: | 6154986435 |
| Fax: |
Provider Mailing Location
3050 W HIGHWAY 98 UNIT C53
PORT ST JOE
FL
324564724
Provider Mailing Phone/Fax
| Phone: | 6154986435 |
| Fax: |