| Coastal Counseling And Therapy Llc | |
|
304 Williams Ave Port Saint Joe FL 32456-1846 | |
| (850) 250-2579 | |
| (813) 262-0999 |
| Full Name | Coastal Counseling And Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 304 Williams Ave, Port Saint Joe, Florida |
| Authorized Official Name and Position | Marika Dillon (FOUNDER) |
| Authorized Official Contact | 8502502579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Counseling And Therapy Llc Po Box 384 Port Saint Joe FL 32457-0384 Ph: (850) 250-2579 | Coastal Counseling And Therapy Llc 304 Williams Ave Port Saint Joe FL 32456-1846 Ph: (850) 250-2579 |
| NPI Number | 1245688720 |
|---|---|
| Provider Enumeration Date | 05/25/2016 |
| Last Update Date | 09/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245688720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 13932 (Florida) | Primary |
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