Individual
MARY SLATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
141 CROSSCOVE CIR, PONTE VEDRA BEACH, FL 32082-4026
(832) 721-6349
Mailing address
141 CROSSCOVE CIR, PONTE VEDRA BEACH, FL 32082-4026
(832) 721-6349
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
19733
TX
101YP2500X
Professional Counselor
3773
LA
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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