Individual
DR. TIMOTHY J STAEBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, LMHC
Contact information
Practice address
3109 MINNESOTA AVE, PANAMA CITY, FL 32405-5026
(850) 624-8626
Mailing address
3109 MINNESOTA AVE, PANAMA CITY, FL 32405-5026
(850) 624-8626
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001117
IA
101YP1600X
Pastoral Counselor
8617
SC
106H00000X
Marriage & Family Therapist
Primary
000309
IA
Other
Enumeration date
12/09/2022
Last updated
03/16/2023
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