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Organization
ESSENTIAL COUNSELING SERVICES
Active
Organization
ESSENTIAL COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY TOSKES KONOPKA LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(352) 318-7983
Entity
Organization
Contact information
Practice address
4421 NW 39TH AVE STE 3, GAINESVILLE, FL 32606-7221
(352) 380-0209
(352) 380-0209
Mailing address
11647 NW 13TH LN, GAINESVILLE, FL 32606-0427
(352) 318-7983
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932333127
INSURANCE COMPANY
FL
01
—
MH12169
MENTAL HEALTH LICENSE
FL
Enumeration date
01/06/2021
Last updated
01/06/2021
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