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1891769758
JASON GOSNELL
FORT WALTON BEACH, FL
NPI
1891769758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: DC MH 6880)
Enumeration Date
2006-02-15
Last Update Date
2007-07-08
Business Address
Mr. JASON GOSNELL L.M.H.C.
137 HOSPITAL DR
FORT WALTON BEACH, FL 32548
Phone number: 850-833-7413
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Mailing Address
Mr. JASON GOSNELL L.M.H.C.
137 HOSPITAL DR
FORT WALTON BEACH, FL 32548
Phone number: 850-833-7400
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