Organization
TWILA ROULHAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TWILA ALISA ROULHAC M.A. (MASTERS LEVEL COUNSELOR)
(850) 628-7847
Entity
Organization
Contact information
Practice address
2711 W 15TH ST, PANAMA CITY, FL 32401-1366
(850) 769-6001
Mailing address
5639 CARDINAL RD, CAMPBELLTON, FL 32426-6902
(850) 628-7847
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
101YM0800X0
FL
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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