Trevon Clow Counseling Therapies, INC

NPI #1023396934 in New Smyrna Beach, Florida

Provider Information

NPI Number: 1023396934
Entity Type: Organization
Organization Name: Trevon Clow Counseling Therapies, INC
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 26, 2011
Last Updated: Jul 26, 2011

Practice Location

Address: 221 N CAUSEWAY
Address 2: SUITE B
City: New Smyrna Beach
State: Florida
ZIP Code: 32169-5298
Phone: (386) 428-4564

Authorized Official

Name: MS. DEANNE LYNN DEPEW
Title: OFFICE MANAGER
Phone: (386) 428-4564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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