Mary Dreggors, LMHC

Individual provider Active NPI Mental Health Counselor · Bunnell, FL

NPI 1710680418 · NPPES record last updated Mar 23, 2023

Key facts

NPI
1710680418
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
19786 (FL)
Practice address
3008 County Road 13
Bunnell, FL 32110-4414
Phone
(386) 295-2911
NPI assigned
Mar 23, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
19786FLMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19786 FL Yes

Addresses

Primary practice location

3008 County Road 13
Bunnell, FL 32110-4414

Mailing address

3008 County Road 13
Bunnell, FL 32110-4414
Phone (386) 295-2911

Other providers in Bunnell, FL

All providers in Bunnell, FL · Mental Health Counselor in Florida

Sources for this page

Verify at the official NPI Registry.