Doctor Name: | EMILY E TONN |
NPI Number: | 1164760872 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RMHCI |
License Number: | IMH10842 |
Business Practice Address: | 2020 Hwy A1a Suite 104 Indian Harbour Beach, FL - 329373581 |
Business Phone Number: | 3214462363 |
Business Fax Number: | 3215745917 |
Mailing Address: | 180 Diane Cir, INDIALANTIC |
State: | FL |
Postal Code: | 329032564 |
Phone Number: | 3214462363 |
Fax Number: | 3215745917 |
NPI Enumeration Date: | 01/30/2013 |
NPI Last Update Date: | 01/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | IMH10842 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |