Individual provider · Type 1 NPI

Shareen Ancog

Mental Health Counselor · Fort Walton Beach, FL

NPI number 1114762747 Active

Practice location

1992 Lewis Turner Blvd Ste 1057
Fort Walton Beach, FL 32547-1255

Call (850) 797-1552 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X23973 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1114762747

Shareen Ancog's National Provider Identifier is 1114762747, issued on Jun 26, 2024. 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 Jun 26, 2024.