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Organization
EMERALD COAST ASSESSMENT AND COUNSELING CENTER, LLC
Active
Organization
EMERALD COAST ASSESSMENT AND COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA LUTZ ED.S. , NCSP (SCHOOL PSYCHOLOGIST)
(866) 960-8806
Entity
Organization
Contact information
Practice address
4400 BAYOU BLVD, SUITE 38, PENSACOLA, FL 32503-2673
(866) 960-8806
(866) 960-8806
Mailing address
4400 BAYOU BLVD, SUITE 38, PENSACOLA, FL 32503-2673
(866) 960-8806
(866) 960-8806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH8518
FL
103TS0200X
School Psychologist
SS795
FL
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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