Edwin R Ailes, LMFT Valid NPI
Individual provider · Marriage & Family Therapist · Panama City, FL
- NPI
- 1639168958
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- MT 140 (FL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-10-19
- Last updated
- 2007-07-08
Practice location
525 E 15th St
Panama City, FL 32405-5412
(850) 522-4485