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Individual

ELIZABETH JEANINE ROUSSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LMHC

Contact information

Practice address
1131 MACK BAYOU RD STE E, SANTA ROSA BEACH, FL 32459-3113
(850) 677-5300
Mailing address
1131 MACK BAYOU RD STE E, SANTA ROSA BEACH, FL 32459-3113
(850) 677-5300

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC007061
GA
101YM0800X
Mental Health Counselor
MH15252
FL

Other

Enumeration date
10/30/2012
Last updated
02/19/2020
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