| Integrated Counseling & Mediation Services | |
|
801 International Pkwy Fl 5 Lake Mary FL 32746-4762 | |
| (347) 852-0020 | |
| Not Available |
| Full Name | Integrated Counseling & Mediation Services |
|---|---|
| Speciality | Social Worker |
| Location | 801 International Pkwy Fl 5, Lake Mary, Florida |
| Authorized Official Name and Position | Mirta Martinez-kekenak (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3478520020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Counseling & Mediation Services 801 International Pkwy Fl 5 Lake Mary FL 32746-4762 Ph: (347) 852-0020 | Integrated Counseling & Mediation Services 801 International Pkwy Fl 5 Lake Mary FL 32746-4762 Ph: (347) 852-0020 |
| NPI Number | 1952789778 |
|---|---|
| Provider Enumeration Date | 05/13/2015 |
| Last Update Date | 05/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952789778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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