Individual
MS. MARISSA E BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 S BEACH ST STE 310, DAYTONA BEACH, FL 32114-4409
(386) 338-8488
Mailing address
18 POINT OF WOODS DR, PALM COAST, FL 32164-6761
(386) 338-8488
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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