MR. STEPHEN HENNEKA, L.C.S.W.

Social Worker - Clinical

Active Individual
NPI: 1104916428

Practice Address

1100 S PONCE DE LEON BLVD STE 1
Saint Augustine, FL 32084

Phone: (904) 824-7733

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No SW0002939 (FL)
Social Worker - Clinical 1041C0700X Yes SW0002939 (FL)

Frequently Asked Questions

NPI 1104916428 is the National Provider Identifier for MR. STEPHEN HENNEKA, L.C.S.W., a Social Worker - Clinical provider located in Saint Augustine, FL. This NPI was enumerated on October 15, 2006.
MR. STEPHEN HENNEKA, L.C.S.W. practices at 1100 S PONCE DE LEON BLVD STE 1, Saint Augustine, FL 32084.

Quick Facts

NPI
1104916428
Type
Individual
Enumerated
Oct 15, 2006
Last Updated
Jan 14, 2015

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