Individual provider · NPI-1

Connie Dennise Baldwin, MS, LMHC(FL),LPC(TX)

Counselor, Professional · Crestview, FL

NPI number1487983367
StatusActive
Last updated in NPPESApr 23, 2018

Details

NPI
1487983367
Entity type
Individual (NPI-1)
Name
Mrs. Connie Dennise Baldwin
Credential
MS, LMHC(FL),LPC(TX)
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 23, 2009
Last updated
Apr 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, ProfessionalMH5223FLYes
101YP2500X Counselor, Professional63853TX
101YP2500X Counselor, Professional10460723-6004UT

Practice location

3922 Jace Dr
Crestview, FL 32539-6510

Phone 210-885-5963

Mailing address

405 Olde Post Rd
Niceville, FL 32578-3905

Phone 210-885-5963

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