Provider Demographics
NPI:1912632530
Name:HANDLON, MARCASA
Entity Type:Individual
Prefix:
First Name:MARCASA
Middle Name:
Last Name:HANDLON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8750 ORTEGA PARK DR
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-4139
Mailing Address - Country:US
Mailing Address - Phone:850-710-3306
Mailing Address - Fax:850-396-0920
Practice Address - Street 1:8750 ORTEGA PARK DR
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-4139
Practice Address - Country:US
Practice Address - Phone:850-710-3306
Practice Address - Fax:850-396-0920
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor