Adult & Adolescent Counseling | |
2630 Nw 41st St Ste B Gainesville FL 32606-6666 | |
(352) 870-8100 | |
(352) 548-4998 |
Full Name | Adult & Adolescent Counseling |
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Speciality | Counselor - Mental Health |
Location | 2630 Nw 41st St Ste B, Gainesville, Florida |
Authorized Official Name and Position | Cary Edward Evans (COUNSELOR) |
Authorized Official Contact | 3528708100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Adult & Adolescent Counseling 2630 Nw 41st St Ste B Gainesville FL 32606-6666 Ph: (352) 870-8100 | Adult & Adolescent Counseling 2630 Nw 41st St Ste B Gainesville FL 32606-6666 Ph: (352) 870-8100 |
NPI Number | 1225209802 |
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Provider Enumeration Date | 03/21/2008 |
Last Update Date | 03/21/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225209802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | MH6848 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | MH 6848 (Florida) | Primary |
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