Counseling Associates of Port Orange, Inc.

NPI #1003099516 in Port Orange, Florida

Provider Information

NPI Number
1003099516
Entity Type
Organization
Organization Name
Counseling Associates of Port Orange, Inc.
Primary Specialty
Counselor - Mental Health
Enumeration Date
Dec 7, 2007
Last Updated
Dec 7, 2007

Practice Location

Address
3959 S NOVA RD
Address 2
SUITE 5
State
Florida
ZIP Code
32127-9278
Phone
(386) 761-2390

Authorized Official

Name
DR. PATTI K HALL, PHD
Title
SECRETARY/TREASURER
Phone
(386) 761-2390

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health
Counselor - Mental HealthMental Health

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