Organization
DWIGHT COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWIGHT T. REIGHTNOUR LMHC (THERAPIST)
(850) 774-4692
Entity
Organization
Contact information
Practice address
2723 HIGHWAY 2, BONIFAY, FL 32425-6721
(850) 547-3032
Mailing address
433 HARRISON AVE, PANAMA CITY, FL 32401-2731
(850) 774-4692
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MH9708
FL
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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