Individual
ALLEN DALE MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
2810 KRYSTAL LEIGH CT, PANAMA CITY, FL 32405-7213
(850) 819-1068
Mailing address
2810 KRYSTAL LEIGH CT, PANAMA CITY, FL 32405-7213
(850) 819-1068
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH8305
FL
Other
Enumeration date
08/03/2005
Last updated
07/30/2009
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