Individual
MR. JEFFREY GLEN PARDONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
348 MIRACLE STRIP PKWY SW, SUITE B3, FORT WALTON BEACH, FL 32548-5200
(850) 862-3772
(850) 863-4574
Mailing address
2828 LIDO BLVD, GULF BREEZE, FL 32563-3090
(850) 916-1244
(850) 916-1244
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 2541
FL
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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