Individual
MRS. ANN MIGNON MATTINGLY GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
5642 JONES ST, MILTON, FL 32570-2304
(850) 626-7779
Mailing address
1300 N PALAFOX ST, PENSACOLA, FL 32501-2664
(850) 266-2724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH15063
FL
Other
Enumeration date
08/07/2009
Last updated
05/29/2019
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