| Spectrum Counseling Services, Llc | |
|
103 E Montana Ave Bonifay FL 32425-1706 | |
| (850) 547-1230 | |
| (850) 546-1230 |
| Full Name | Spectrum Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 103 E Montana Ave, Bonifay, Florida |
| Authorized Official Name and Position | Gina Christine Martinelli (CEO, LMHC) |
| Authorized Official Contact | 8507260937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Counseling Services, Llc Po Box 748 Bonifay FL 32425-0748 Ph: () - | Spectrum Counseling Services, Llc 103 E Montana Ave Bonifay FL 32425-1706 Ph: (850) 547-1230 |
| NPI Number | 1780935148 |
|---|---|
| Provider Enumeration Date | 09/26/2012 |
| Last Update Date | 09/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780935148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH10080 (Florida) | Primary |
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