Individual
GLENN W BARRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
348 MIRACLE STRIP PKWY SW STE B3, FORT WALTON BEACH, FL 32548-5200
(850) 862-3772
Mailing address
348 MIRACLE STRIP PKWY SW STE B3, FORT WALTON BEACH, FL 32548-5200
(850) 862-3772
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH15375
FL
106H00000X
Marriage & Family Therapist
Primary
IMT2617
FL
Other
Enumeration date
07/26/2017
Last updated
07/21/2022
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