Individual
MICHAEL FLOUNLACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 BAYOU BLVD STE 35B, PENSACOLA, FL 32503-2671
(850) 377-5623
Mailing address
4300 BAYOU BLVD STE 35B, PENSACOLA, FL 32503-2671
(850) 377-5623
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY9135
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L19000221536
UNKNOWN
FL
Enumeration date
10/18/2019
Last updated
10/18/2019
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