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Mr. Michael Bradley Sturdivant, EDSLMHC
Counselor in Destin, Florida
NPI 1972586444

Michael Bradley Sturdivant is a Counselor based in Destin, FL. Michael Bradley Sturdivant practices in Destin, FL and has the professional credentials of EDSLMHC. The NPI Number for Michael Bradley Sturdivant is 1972586444 and holds a License No. MH4672 (Florida).

The current practice location address for Michael Bradley Sturdivant is 215 Mountain Dr, Destin, FL and can be reached out via phone at 850-837-9100 and via fax at 850-837-3774.

Location: 215 Mountain Dr, Destin, FL, 32541-2346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972586444
Provider Name
Michael Bradley Sturdivant
Credential
EDSLMHC
Provider Entity Type
Individual
Gender
Male
Address
215 Mountain Dr, Destin, FL, 32541-2346
Phone Number
850-837-9100
Fax Number
850-837-3774
Provider Enumeration Date
11/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
460869 01 VALUE OPTIONS
Z8561 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
215 Mountain Dr
City
Destin
State
Florida
Zip
32541-2346
Phone Number
850-837-9100
Fax Number
850-837-3774
person
Provider Business Mailing Address Details
Address
215 Mountain Dr
City
Destin
State
Florida
Zip
32541-2346
Phone Number
850-837-9100
Fax Number
850-837-3774
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
MH4672 (Florida)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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