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Organization
PREMIER COUNSELING AND WELLNESS LLC
Active
Organization
PREMIER COUNSELING AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON NICOLA LCSW (LCSW)
(727) 835-8822
Entity
Organization
Contact information
Practice address
3831 TYRONE BLVD N STE 201C, ST PETERSBURG, FL 33709-4114
(727) 835-8822
Mailing address
3831 TYRONE BLVD N STE 201C, ST PETERSBURG, FL 33709-4114
(603) 960-1571
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW13296
FL
Other
Enumeration date
03/19/2018
Last updated
05/10/2018
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