Malinda Irene Grow
Counselor, Mental Health in Fort Walton Beach, FL. Individual provider (NPI-1).
NPI number1164092714
StatusActive
Last updated in NPPESJun 27, 2021
Details
- NPI
- 1164092714
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Malinda Irene Grow
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2021
- Certification date
- Jun 27, 2021
- Last updated
- Jun 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | FL | Yes |
Practice location
103 Lewis StFort Walton Beach, FL 32547-3142
Phone 850-362-6824
Mailing address
14 Sherwood Rd NwFort Walton Beach, FL 32547-1635
Phone 562-569-4755
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All 89 Mental Health Counselor providers in Fort Walton Beach · All 1,854 providers in Fort Walton Beach
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