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Organization
PENSACOLA COUNSELOR LLC
Active
Organization
PENSACOLA COUNSELOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGAN HAGER LMHC (OWNER/PRESIDENT)
(850) 462-3595
Entity
Organization
Contact information
Practice address
4300 BAYOU BLVD, SUITE 21, PENSACOLA, FL 32503-1949
(850) 462-3595
(850) 607-2771
Mailing address
4300 BAYOU BLVD, SUITE 21, PENSACOLA, FL 32503-1949
(850) 462-3595
(850) 607-2771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12078
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009764400
—
FL
05
—
009812400
—
FL
Enumeration date
11/14/2015
Last updated
11/14/2015
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