person
Mr. Samuel R. Marshall JR., LMHC
Mental Health Counselor in Fort Walton Beach, Florida
NPI 1568437226

Samuel R. Marshall JR. is a Mental Health Counselor based in Fort Walton Beach, FL and is specialized in Mental Health. Samuel R. Marshall JR. practices in Fort Walton Beach, FL and has the professional credentials of LMHC. The NPI Number for Samuel R. Marshall JR. is 1568437226 and holds a License No. MH 5996 (Florida).

The current practice location address for Samuel R. Marshall JR. is 137 Hospital Dr., Fort Walton Beach, FL and can be reached out via phone at 850-833-7400 and via fax at 850-833-7528.

Location: 137 Hospital Dr., Fort Walton Beach, FL, 32548-5063
person
Provider Profile Details
NPI Number
1568437226
Provider Name
Samuel R. Marshall JR.
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
137 Hospital Dr., Fort Walton Beach, FL, 32548-5063
Phone Number
850-833-7400
Fax Number
850-833-7528
Provider Enumeration Date
02/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
761863800 05 FL
institution
Provider Business Practice Location Address Details
Address
137 Hospital Dr.
City
State
Zip
32548-5063
Phone Number
850-833-7400
Fax Number
850-833-7528
person
Provider Business Mailing Address Details
Address
137 Hospital Dr.
City
State
Zip
32548-5063
Phone Number
850-833-7400
Fax Number
850-833-7528
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH 5996 (Florida)
Definition
Definition to come...
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