Individual
MS. BEVERLY WILUSZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
228 BROOKS ST SE, SUITE A, FT WALTON BEACH, FL 32548
(850) 301-0446
Mailing address
PO BOX 846, FT WALTON BEACH, FL 32549
(850) 301-0446
(850) 301-0442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH0002007
FL
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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