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Organization
NEW COVENANT COUNSELING AND GUIDANCE CENTER, INC.
Active
Organization
NEW COVENANT COUNSELING AND GUIDANCE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LERNARD WILSON LMHC, NCC (PRESIDENT)
(321) 438-4075
Entity
Organization
Contact information
Practice address
2210 S RIO GRANDE AVE, ORLANDO, FL 32805-5262
(321) 438-4075
Mailing address
6820 NAWADAHA BLVD, ORLANDO, FL 32818-5365
(321) 438-4075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH7412
FL
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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