Individual
CARL EDWIN BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
5642 JONES ST, MILTON, FL 32570-2304
(850) 626-7779
(850) 626-7171
Mailing address
6154 AUTUMN PINES CIR, PACE, FL 32571-6368
(301) 646-3357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/12/2023
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