| Southeastern Counseling And Consultation Llc | |
|
5024 Nw 27th Ct Ste B Gainesville FL 32606-6545 | |
| (352) 375-4440 | |
| (352) 378-1828 |
| Full Name | Southeastern Counseling And Consultation Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5024 Nw 27th Ct Ste B, Gainesville, Florida |
| Authorized Official Name and Position | Alfred Grant Mcdougall (OWNER) |
| Authorized Official Contact | 3523188750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Counseling And Consultation Llc Po Box 357504 Gainesville FL 32635-7504 Ph: (352) 375-4440 | Southeastern Counseling And Consultation Llc 5024 Nw 27th Ct Ste B Gainesville FL 32606-6545 Ph: (352) 375-4440 |
| NPI Number | 1306344502 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 01/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306344502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH5756 (Florida) | Primary |
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