| NPI | 1376311316 |
|---|---|
| Other Name | BOARD FOR LICENSED PROFESSIONALS |
| Entity Type | Organization |
| Authorized Contact | MICHELLE M LAWRENCE Clinician 850-480-9314 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |