Counseling And Psychotherapy Center | |
595 W Granada Blvd Ste H Ormond Beach FL 32174-5182 | |
(386) 677-3995 | |
(386) 673-0130 |
Full Name | Counseling And Psychotherapy Center |
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Speciality | Social Worker - Clinical |
Location | 595 W Granada Blvd Ste H, Ormond Beach, Florida |
Authorized Official Name and Position | Valerie G Watt (VICE PRESIDENT ADMINISTRATIVE DIR) |
Authorized Official Contact | 3866773995 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Counseling And Psychotherapy Center 595 W Granada Blvd Ste H Ormond Beach FL 32174-5182 Ph: (386) 677-3995 | Counseling And Psychotherapy Center 595 W Granada Blvd Ste H Ormond Beach FL 32174-5182 Ph: (386) 677-3995 |
NPI Number | 1417007881 |
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Provider Enumeration Date | 01/10/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417007881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW0003142 (Florida) | Primary |
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