institution
Indenpendent Contractor For Counseling Services
Mental Health Counselor in Lynn Haven, Florida
NPI 1205223328

Indenpendent Contractor For Counseling Services is a Mental Health Counselor based in Panama City, FL and is specialized in Mental Health. Indenpendent Contractor For Counseling Services practices in Lynn Haven, FL. The NPI Number for Indenpendent Contractor For Counseling Services is 1205223328 and holds a License No. MH4860 (Florida).

The current practice location address for Indenpendent Contractor For Counseling Services is 1606 Tennessee Ave, Lynn Haven, FL and can be reached out via phone at 850-814-5060 and via fax at 850-265-1811.

Location: 1606 Tennessee Ave, Lynn Haven, FL, 32405-3224
institution
Provider Profile Details
NPI Number
1205223328
Provider Name
Indenpendent Contractor For Counseling Services
Credential
Provider Entity Type
Organization
Address
1606 Tennessee Ave, Lynn Haven, FL, 32405-3224
Phone Number
850-814-5060
Fax Number
850-265-1811
Provider Enumeration Date
04/16/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
763657100 05 FL
811551600 01 FL MEDICAID- DEVELOPMENTAL SPECIALIST
institution
Provider Business Practice Location Address Details
Address
1606 Tennessee Ave
City
State
Zip
32444-3653
Phone Number
850-814-5060
Fax Number
850-265-1811
person
Provider Business Mailing Address Details
Address
1606 Tennessee Ave
City
State
Zip
32444-3653
Phone Number
850-814-5060
Fax Number
850-265-1811
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH4860 (Florida)
Definition
Definition to come...
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