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Organization

COUNSELING AND MEDIATION SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLEN DALE MARKS ED.D. (PRESIDENT/LMHC)
(850) 819-1068
Entity
Organization

Contact information

Practice address
619 N COVE BLVD, SUITE A, PANAMA CITY, FL 32401-3642
(850) 819-1068
Mailing address
619 N COVE BLVD, SUITE A, PANAMA CITY, FL 32401-3642
(850) 819-1068

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH8305
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH8305
FL
101YM0800X
Mental Health Counselor
MH8305
FL
101YP2500X
Professional Counselor
Primary
MH8305
FL

Other

Enumeration date
02/03/2012
Last updated
02/03/2012
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