Boca Raton Counseling Center Llc | |
17723 Tiffany Trace Dr Boca Raton FL 33487-1225 | |
(310) 594-9974 | |
Not Available |
Full Name | Boca Raton Counseling Center Llc |
---|---|
Speciality | Marriage & Family Therapist |
Location | 17723 Tiffany Trace Dr, Boca Raton, Florida |
Authorized Official Name and Position | Dustin Kebre (OWNER) |
Authorized Official Contact | 3105949974 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Boca Raton Counseling Center Llc 17723 Tiffany Trace Dr Boca Raton FL 33487-1225 Ph: (310) 594-9974 | Boca Raton Counseling Center Llc 17723 Tiffany Trace Dr Boca Raton FL 33487-1225 Ph: (310) 594-9974 |
NPI Number | 1255701199 |
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Provider Enumeration Date | 10/05/2015 |
Last Update Date | 10/05/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255701199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MT3057 (Florida) | Primary |
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