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Behavioral Health & Social Service Providers Counselor School

Provider NPI: 1285922062

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
5410 HARMONY LN  KISSIMMEE, FL 34758-1900 US
Tel: 407-744-2846  Fax: --

Business Mailing Address:
5410 HARMONY LN  KISSIMMEE, FL 34758-1900 US
Tel: 407-744-2846  Fax: --

NPI Information:
NPI: 1285922062
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y101YS0200XBehavioral Health & Social Service Providers

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 101YS0200X





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