Individual
AMY HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1212 W. 19TH ST., PANAMA CITY, FL 32405
(850) 640-1642
Mailing address
1212 W 19TH ST, PANAMA CITY, FL 32405-4104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH15586
FL
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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