Individual
CARL TYWAN MOTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RMHCI
Contact information
Practice address
11725 MARTIN LUTHER KING ST N APT 2, ST PETERSBURG, FL 33716-2326
(727) 288-5918
Mailing address
11725 MARTIN LUTHER KING ST N APT 2, ST PETERSBURG, FL 33716-2326
(727) 288-5918
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
FL28465
FL
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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