| Stillwaters Counseling, Llc | |
|
425 East Hollywood Boulevard Building C, Suite #c5 Mary Esther FL 32569 | |
| (850) 301-3525 | |
| (850) 301-3525 |
| Full Name | Stillwaters Counseling, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 425 East Hollywood Boulevard, Mary Esther, Florida |
| Authorized Official Name and Position | Katherine Irene Frechette (OWNER/MANAGER) |
| Authorized Official Contact | 8503013525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwaters Counseling, Llc 425 East Hollywood Boulevard Building C , Suite #5 Mary Esther FL 32569 Ph: (850) 301-3525 | Stillwaters Counseling, Llc 425 East Hollywood Boulevard Building C, Suite #c5 Mary Esther FL 32569 Ph: (850) 301-3525 |
| NPI Number | 1265846000 |
|---|---|
| Provider Enumeration Date | 06/19/2014 |
| Last Update Date | 06/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265846000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH4823 (Florida) | Secondary |
| 106H00000X | Marriage & Family Therapist | MT2651 (Florida) | Primary |
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