Marietha Destin LMFT
Counselor in Brandon, FL(View on Map)
Full Name
Marietha Destin LMFT
NPI Number
1811295959
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/13/2011
Specialties
(Taxonomies)Code
101Y00000X
222Q00000X
106H00000X
101YS0200X
Primary Taxonomy
Yes
No
No
No
Licenses
State
Florida
License Number
MT2998
Contact
Information
Purpose
Mailing
Location
Address
211 LITHIA PINECREST RD
211 LITHIA PINECREST RD
City
Brandon
Brandon
State
FL
FL
Postal Code
33511-5307
33511-5307
Country
US
US
Telephone Number
(813) 720-5191
(813) 720-5191
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/09/2015