Wanda Gayle Austin, LMHC, NCC
Counselor, Mental Health in Largo, FL. Individual provider (NPI-1).
NPI number1205158979
StatusActive
Last updated in NPPESMar 29, 2010
Details
- NPI
- 1205158979
- Entity type
- Individual (NPI-1)
- Name
- Ms. Wanda Gayle Austin
- Credential
- LMHC, NCC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2010
- Last updated
- Mar 29, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MH10105 | FL | Yes |
Practice location
11599 Seminole BlvdLargo, FL 33778-3205
Phone 727-418-9296 · Fax 727-585-8061
Mailing address
1206 Cara DrLargo, FL 33771-1027
Phone 727-586-4741 · Fax 727-585-8061
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