person
Ted Liberty, LMHC
Professional Counselor in Panama City, Florida
NPI 1831423078

Ted Liberty is a Professional Counselor based in Panama City, FL and is specialized in Professional. Ted Liberty practices in Panama City, FL and has the professional credentials of LMHC. The NPI Number for Ted Liberty is 1831423078 and holds a License No. MH16073 (Florida).

The current practice location address for Ted Liberty is 1940 Harrison Ave, Panama City, FL and can be reached out via phone at 850-763-0017 and via fax at 850-532-6454. You can also correspond with Ted Liberty through the mailing address at 1940 HARRISON AVE, PANAMA CITY, FL - 32405-4542 (mailing address contact number: 850-763-0017).

Location: 1940 Harrison Ave, Panama City, FL, 32405-4542
person
Provider Profile Details
NPI Number
1831423078
Provider Name
Ted Liberty
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
1940 Harrison Ave, Panama City, FL, 32405-4542
Phone Number
850-763-0017
Fax Number
850-532-6454
Provider Enumeration Date
09/21/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1940 Harrison Ave
City
State
Zip
32405-4542
Phone Number
850-763-0017
Fax Number
850-532-6454
person
Provider Business Mailing Address Details
Address
1940 Harrison Ave
City
State
Zip
32405-4542
Phone Number
850-763-0017
Fax Number
850-532-6454
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC005678 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
MH16073 (Florida)
Definition
Definition to come...
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