Individual provider · Type 1 NPI

Jantzen Wayne Whitehead, MS

Mental Health Counselor · Marianna, FL

NPI number 1831430826 Active

Practice location

2860 Highway 71 N, Suite A
Marianna, FL 32446

Call (850) 482-0019 Map

Fax (850) 482-0015

Mailing address

5601 Highway 231
Campbellton, FL 32426

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH10814 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1831430826

Jantzen Wayne Whitehead, MS's National Provider Identifier is 1831430826, issued on Mar 15, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marianna, FL. The record was last updated on Mar 15, 2013.