Essential Counseling Services | |
4421 Nw 39th Ave Ste 3 Gainesville FL 32606-7221 | |
(352) 380-0209 | |
(352) 380-0209 |
Full Name | Essential Counseling Services |
---|---|
Speciality | Counselor |
Location | 4421 Nw 39th Ave Ste 3, Gainesville, Florida |
Authorized Official Name and Position | Tracey Toskes Konopka (LICENSED MENTAL HEALTH COUNSELOR) |
Authorized Official Contact | 3523187983 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Essential Counseling Services 11647 Nw 13th Ln Gainesville FL 32606-0427 Ph: (352) 318-7983 | Essential Counseling Services 4421 Nw 39th Ave Ste 3 Gainesville FL 32606-7221 Ph: (352) 380-0209 |
NPI Number | 1275121121 |
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Provider Enumeration Date | 01/06/2021 |
Last Update Date | 01/06/2021 |
Certification Date | 12/17/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275121121 | NPI | - | NPPES |
MH12169 | Other | FL | MENTAL HEALTH LICENSE |
1932333127 | Other | FL | INSURANCE COMPANY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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