Individual provider · Type 1 NPI
Rene Gapasin Grino Jr.
Mental Health Counselor · Defuniak Springs, FL
NPI number
1083378582
Active
Practice location
555 Walton Rd
Defuniak Springs, FL 32433-1538
Mailing address
2718 River Oak Dr
Eglin Afb, FL 32542-1439
Other practice locations
- 2718 River Oak Dr, Eglin Afb, FL 32542-1439 · (702) 722-9451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | IMH21690 (FL) |
Mental Health Counselor: Definition to come...
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- Jacquelyn Joy Broadus, LMHCMental Health Counselor Defuniak Springs, FL NPI 1346673506
- Reginald Lamar Jones, LMHCMental Health Counselor Defuniak Springs, FL NPI 1356962567
- Amanda L. Walton, LMHCMental Health Counselor Defuniak Springs, FL NPI 1407104003
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About NPI 1083378582
Rene Gapasin Grino Jr.'s National Provider Identifier is 1083378582, issued on Oct 29, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Defuniak Springs, FL. The record was last updated on Oct 29, 2021.