Provider Demographics
NPI:1255117669
Name:POST, FREDERICK JOHN (LMHC)
Entity type:Individual
Prefix:
First Name:FREDERICK
Middle Name:JOHN
Last Name:POST
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:472 OCEAN JASPER DR
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-8090
Mailing Address - Country:US
Mailing Address - Phone:678-907-1705
Mailing Address - Fax:
Practice Address - Street 1:38 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32084-0313
Practice Address - Country:US
Practice Address - Phone:904-679-6630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH20587101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health