NPI | 1831174705 |
---|---|
Doing Business As | DESTIN COUNSELING CENTER |
Entity Type | Organization |
Authorized Contact | LYLE J SANDQUIST President Owner 850-837-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2005-12-13 |
Last Update Date | 2020-08-22 |