| Clamon Counseling Services | |
|
3002 Edington Dr Titusville FL 32780-3454 | |
| (719) 960-7597 | |
| Not Available |
| Full Name | Clamon Counseling Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 3002 Edington Dr, Titusville, Florida |
| Authorized Official Name and Position | Sandra Clamon (OWNER) |
| Authorized Official Contact | 8324030614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clamon Counseling Services 3002 Edington Dr Titusville FL 32780-3454 Ph: (719) 960-7597 | Clamon Counseling Services 3002 Edington Dr Titusville FL 32780-3454 Ph: (719) 960-7597 |
| NPI Number | 1790427508 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Medicare PECOS PAC ID | 6608216361 |
|---|---|
| Medicare Enrollment ID | O20240429000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790427508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sallette Ann Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609956390 PECOS PAC ID: 0941454185 Enrollment ID: I20130925000705 |
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