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Marlo Deshawn Bryant, LMHC,NCC
Mental Health Counselor in Dade City, Florida
NPI 1619432093

Marlo Deshawn Bryant is a Mental Health Counselor based in Dade City, FL and is specialized in Mental Health. Marlo Deshawn Bryant practices in Dade City, FL and has the professional credentials of LMHC,NCC. The NPI Number for Marlo Deshawn Bryant is 1619432093 and holds a License No. MH16696 (Florida).

The current practice location address for Marlo Deshawn Bryant is 14527 7Th St, Dade City, FL and can be reached out via phone at 352-467-6014.

Location: 14527 7Th St, Dade City, FL, 33523-3102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619432093
Provider Name
Marlo Deshawn Bryant
Credential
LMHC,NCC
Provider Entity Type
Individual
Gender
Male
Address
14527 7Th St, Dade City, FL, 33523-3102
Phone Number
352-467-6014
Fax Number
Provider Enumeration Date
02/10/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YM0800X 05 FL
institution
Provider Business Practice Location Address Details
Address
14527 7Th St
City
Dade City
State
Florida
Zip
33523-3102
Phone Number
352-467-6014
Fax Number
person
Provider Business Mailing Address Details
Address
14527 7Th St
City
Dade City
State
Florida
Zip
33523-3102
Phone Number
352-467-6014
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH16696 (Florida)
Definition
Definition to come...
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