NPI 1003045105
John Roger Rebillot, MA
Practice location
- Address
- 141 Mack Bayou Loop Suite 201, Santa Rosa Beach, FL 32459-7194
- Phone
- (850) 267-0030
- Fax
- (850) 267-0034
- Mailing address
- 255 13th Ave NE, St Petersburg, FL 33701-1211
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003045105
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Jul 2009
- Record last updated
- 9 Jul 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.