institution
Michael D. Gusack, Ma, Lmhc
Mental Health Counselor in Mary Esther, Florida
NPI 1770048555

Michael D. Gusack, Ma, Lmhc is a Mental Health Counselor based in Fort Walton Beach, FL and is specialized in Mental Health. Michael D. Gusack, Ma, Lmhc practices in Mary Esther, FL. The NPI Number for Michael D. Gusack, Ma, Lmhc is 1770048555 and holds a License No. (Florida).

The current practice location address for Michael D. Gusack, Ma, Lmhc is 124 E Miracle Strip Pkwy Ste 602, Mary Esther, FL and can be reached out via phone at 850-243-7035 and via fax at 850-243-8529.

Location: 124 E Miracle Strip Pkwy Ste 602, Mary Esther, FL, 32549-0879
institution
Provider Profile Details
NPI Number
1770048555
Provider Name
Michael D. Gusack, Ma, Lmhc
Credential
Provider Entity Type
Organization
Address
124 E Miracle Strip Pkwy Ste 602, Mary Esther, FL, 32549-0879
Phone Number
850-243-7035
Fax Number
850-243-8529
Provider Enumeration Date
02/05/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NPI 01 FL 1548285154
institution
Provider Business Practice Location Address Details
Address
124 E Miracle Strip Pkwy Ste 602
City
State
Zip
32569-1991
Phone Number
850-243-7035
Fax Number
850-243-8529
person
Provider Business Mailing Address Details
Address
124 E Miracle Strip Pkwy Ste 602
City
State
Zip
32569-1991
Phone Number
850-243-7035
Fax Number
850-243-8529
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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