person
Ms. Martine Rose Wallenberg, MS,EDD
Mental Health Counselor in South Daytona, Florida
NPI 1184270621

Martine Rose Wallenberg is a Mental Health Counselor based in Satsuma, FL and is specialized in Mental Health. Martine Rose Wallenberg practices in South Daytona, FL and has the professional credentials of MS,EDD. The NPI Number for Martine Rose Wallenberg is 1184270621 and holds a License No. IMH15151 (Florida).

The current practice location address for Martine Rose Wallenberg is 2400 S Ridgewood Ave, South Daytona, FL and can be reached out via phone at 386-631-8270.

Location: 2400 S Ridgewood Ave, South Daytona, FL, 32189-2394
person
Provider Profile Details
NPI Number
1184270621
Provider Name
Martine Rose Wallenberg
Credential
MS,EDD
Provider Entity Type
Individual
Gender
Female
Address
2400 S Ridgewood Ave, South Daytona, FL, 32189-2394
Phone Number
386-631-8270
Fax Number
Provider Enumeration Date
08/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2400 S Ridgewood Ave
City
State
Zip
32119-3097
Phone Number
386-631-8270
Fax Number
person
Provider Business Mailing Address Details
Address
2400 S Ridgewood Ave
City
State
Zip
32119-3097
Phone Number
386-631-8270
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
IMH15151 (Florida)
Definition
Definition to come...
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