Organization
1LIFE COUNSELING & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLONDA DUBOSE MSW, LCSW (MEMBER/LCSW)
(850) 331-1830
Entity
Organization
Contact information
Practice address
182 N PALAFOX ST, PENSACOLA, FL 32502-4839
(850) 331-1830
Mailing address
PO BOX 12525, PENSACOLA, FL 32591-2525
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100023800
—
FL
Enumeration date
03/03/2021
Last updated
03/03/2021
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