Individual
GRETCHEN BALOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2711 W 15TH ST, PANAMA CITY, FL 32401-1366
(850) 769-6001
(850) 769-6003
Mailing address
525 E 15TH ST, PANAMA CITY, FL 32405-5412
(850) 522-4485
(850) 914-6281
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 1321
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767940800
—
FL
Enumeration date
11/27/2006
Last updated
07/21/2022
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