Shareen Ancog Valid NPI
Individual provider · Mental Health Counselor · Fort Walton Beach, FL
- NPI
- 1114762747
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 23973 (FL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2024-06-26
- Last updated
- 2024-06-26
Practice location
1992 Lewis Turner Blvd Ste 1057
Fort Walton Beach, FL 32547-1255
(850) 797-1552