Organization
COASTAL COUNSELING AND THERAPY LLC
Active
Other names
Coastal Counseling & Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MARIKA DILLON MA, LMHC (FOUNDER)
(850) 250-2579
Entity
Organization
Contact information
Practice address
304 WILLIAMS AVE, PORT SAINT JOE, FL 32456-1846
(850) 250-2579
(813) 262-0999
Mailing address
PO BOX 384, PORT SAINT JOE, FL 32457-0384
(850) 250-2579
(813) 262-0999
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13932
FL
Other
Enumeration date
05/25/2016
Last updated
09/16/2016
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