Marina Christine Declue Valid NPI
Individual provider · Mental Health Counselor · Punta Gorda, FL
- NPI
- 1720670458
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- MH21644 (FL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2021-02-04
- Last updated
- 2022-12-21
Practice location
155 Guava Street
Punta Gorda, FL 33980
(239) 672-6177