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Spectrum Counseling Services, LLC

Counselor, Mental Health in Bonifay, FL. Organization (NPI-2).

NPI number1780935148
StatusActive
Last updated in NPPESSep 26, 2012

Details

NPI
1780935148
Entity type
Organization (NPI-2)
Legal business name
Spectrum Counseling Services, LLC
Organization subpart
No
Enumeration date
Sep 26, 2012
Last updated
Sep 26, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthMH10080FLYes

Practice location

103 E Montana Ave
Bonifay, FL 32425-1706

Phone 850-547-1230 · Fax 850-546-1230

Mailing address

Po Box 748
Bonifay, FL 32425-0748

Authorized official

Gina Christine Martinelli
Ceo, Lmhc
8507260937

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