Marydalene D Mcmakin, LMHC Valid NPI

Individual provider · Mental Health Counselor · Fort Walton Beach, FL

NPI

1598057259

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

MH10766 (FL)

Sex

Female

Sole proprietor

No

Enumerated

2011-05-12

Last updated

2011-05-12