Individual
ROBERT FILLINGIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
5642 JONES ST, MILTON, FL 32570-2304
(850) 626-7779
Mailing address
5642 JONES ST, MILTON, FL 32570-2304
(850) 626-7779
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH 13197
FL
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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