| Doctor Name: | DR. MARLENE L EAST |
| NPI Number: | 1043287600 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | MH5744 |
| Business Practice Address: | 6521a N Lagoon Dr Panama City Beach, FL - 324083730 |
| Business Phone Number: | 8502502690 |
| Business Fax Number: | 3218002580 |
| Mailing Address: | 6521a N Lagoon Dr, PANAMA CITY BEACH |
| State: | FL |
| Postal Code: | 324083730 |
| Phone Number: | 8502502690 |
| Fax Number: | 8003212580 |
| NPI Enumeration Date: | 03/02/2006 |
| NPI Last Update Date: | 01/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH5744 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |