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Organization
WILLOW HARBOR THERAPY CENTER, LLC
Active
Organization
WILLOW HARBOR THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SABRINA IRENE CONKLIN DSW, LCSW (CEO/OWNER)
(850) 776-6297
Entity
Organization
Contact information
Practice address
1010 N 12TH AVE STE 321, PENSACOLA, FL 32501-3370
(850) 776-6297
Mailing address
1010 N 12TH AVE STE 321, PENSACOLA, FL 32501-3370
(850) 776-6297
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW12317
FL
Other
Enumeration date
09/22/2017
Last updated
07/21/2022
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