Provider Demographics
NPI:1891558177
Name:POWERS, VERONICA HAFT (MA, LMHC, NCC)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:HAFT
Last Name:POWERS
Suffix:
Gender:F
Credentials:MA, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082-2807
Mailing Address - Country:US
Mailing Address - Phone:904-599-7714
Mailing Address - Fax:
Practice Address - Street 1:171 CANAL BLVD
Practice Address - Street 2:
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-3607
Practice Address - Country:US
Practice Address - Phone:904-599-7714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH23274101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health