| Cln Therapeutic Solutions | |
|
366 E Graves Ave Ste D Orange City FL 32763-5266 | |
| (801) 450-5704 | |
| (386) 561-9974 |
| Full Name | Cln Therapeutic Solutions |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 366 E Graves Ave Ste D, Orange City, Florida |
| Authorized Official Name and Position | Shelley Kucinski (BILLING & CREDENTIALING) |
| Authorized Official Contact | 3862163365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cln Therapeutic Solutions 956 Forest Ridge Ct Apt 202 Lake Mary FL 32746-3376 Ph: (801) 450-5704 | Cln Therapeutic Solutions 366 E Graves Ave Ste D Orange City FL 32763-5266 Ph: (801) 450-5704 |
| NPI Number | 1013588649 |
|---|---|
| Provider Enumeration Date | 07/06/2021 |
| Last Update Date | 07/06/2021 |
| Certification Date | 07/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013588649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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