Executive Counseling Solutions, Llc | |
1790 E Venice Ave Suite 204 Venice FL 34292-3191 | |
(941) 484-0766 | |
(941) 488-5554 |
Full Name | Executive Counseling Solutions, Llc |
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Speciality | Social Worker - Clinical |
Location | 1790 E Venice Ave, Venice, Florida |
Authorized Official Name and Position | Rebecca Rand (OWNER) |
Authorized Official Contact | 9412244044 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Executive Counseling Solutions, Llc Po Box 495334 Port Charlotte FL 33949-5334 Ph: () - | Executive Counseling Solutions, Llc 1790 E Venice Ave Suite 204 Venice FL 34292-3191 Ph: (941) 484-0766 |
NPI Number | 1962859520 |
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Provider Enumeration Date | 05/24/2016 |
Last Update Date | 12/07/2016 |
Identifier | Type | State | Issuer |
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1962859520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | SW12296 (Florida) | Primary |
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