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Organization
SSCN LLC
Active
Organization
SSCN LLC
Active
Other names
Sacred Space Counseling Naples
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MATHIAS LCSW (OWNER)
(815) 261-6285
Entity
Organization
Contact information
Practice address
2575 NORTHBROOKE PLAZA DR UNIT 206, NAPLES, FL 34119-8099
(815) 261-6285
Mailing address
2575 NORTHBROOKE PLAZA DR UNIT 206, NAPLES, FL 34119-8099
(815) 261-6285
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
07/24/2022
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