Organization
COASTAL COUNSELING PCB, LLC
Active
Other names
Coastal Counseling PCB
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREGON FITCH LMHC (MANAGER/COUNSELOR)
(850) 733-7720
Entity
Organization
Contact information
Practice address
400 THOMAS DR., 7108, PANAMA CITY BEACH, FL 32408
(850) 733-7720
Mailing address
2522 PELICAN BAY DR, PANAMA CITY BEACH, FL 32408-7046
(850) 733-7720
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
11097
FL
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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