Individual
MS. MICHELLE ESPINOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
151 MARY ESTHER BLVD, STE 408, MARY ESTHER, FL 32569
(850) 226-7322
(850) 226-7491
Mailing address
519 BOULDER ST, CRESTVIEW, FL 32536
(850) 226-7322
(850) 226-7491
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH4531
FL
101YM0800X
Mental Health Counselor
MH 4531
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
761888300
—
FL
Enumeration date
02/15/2006
Last updated
07/06/2011
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