Individual provider · Type 1 NPI

Susan Page

Mental Health Counselor · Fort Walton Beach, FL

NPI number 1104979863 Active

Practice location

7 Vine Ave NE
Fort Walton Beach, FL 32548-5070

Fax (850) 862-9292

Mailing address

259 E Oakdale Ave
Crestview, FL 32539-3547

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH3244 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1104979863

Susan Page's National Provider Identifier is 1104979863, issued on Jan 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Jul 8, 2007.