| Episcopal Counseling Center Of West Volusia | |
|
319 W Wisconsin Ave Deland FL 32720-4132 | |
| (386) 734-3101 | |
| Not Available |
| Full Name | Episcopal Counseling Center Of West Volusia |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 319 W Wisconsin Ave, Deland, Florida |
| Authorized Official Name and Position | Jesse Fox (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3867343101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Episcopal Counseling Center Of West Volusia 319 W Wisconsin Ave Deland FL 32720-4132 Ph: () - | Episcopal Counseling Center Of West Volusia 319 W Wisconsin Ave Deland FL 32720-4132 Ph: (386) 734-3101 |
| NPI Number | 1356969075 |
|---|---|
| Provider Enumeration Date | 07/09/2020 |
| Last Update Date | 07/09/2020 |
| Certification Date | 07/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356969075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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