Jason Gosnell, L.M.H.C. Valid NPI

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

NPI

1891769758

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

MH 6880 (DC)

Sex

Male

Sole proprietor

No

Enumerated

2006-02-15

Last updated

2007-07-08