Individual
MRS. CONNIE DENNISE BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC(FL),LPC(TX)
Contact information
Practice address
3922 JACE DR, CRESTVIEW, FL 32539-6510
(210) 885-5963
Mailing address
405 OLDE POST RD, NICEVILLE, FL 32578-3905
(210) 885-5963
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
10460723-6004
UT
101YP2500X
Professional Counselor
63853
TX
101YP2500X
Professional Counselor
Primary
MH5223
FL
Other
Enumeration date
12/23/2009
Last updated
04/23/2018
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