Congdoncounseling Llc | |
280 Utopia Cir Merritt Island FL 32952-7101 | |
(321) 848-3640 | |
Not Available |
Full Name | Congdoncounseling Llc |
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Speciality | Social Worker - Clinical |
Location | 280 Utopia Cir, Merritt Island, Florida |
Authorized Official Name and Position | Lisa Michelle Congdon (OWNER) |
Authorized Official Contact | 3218483640 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Congdoncounseling Llc 280 Utopia Cir Merritt Island FL 32952-7101 Ph: (321) 848-3640 | Congdoncounseling Llc 280 Utopia Cir Merritt Island FL 32952-7101 Ph: (321) 848-3640 |
NPI Number | 1902551898 |
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Provider Enumeration Date | 02/18/2022 |
Last Update Date | 02/18/2022 |
Certification Date | 02/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902551898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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