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Organization
SOUTHEASTERN COUNSELING AND CONSULTATION LLC
Active
Organization
SOUTHEASTERN COUNSELING AND CONSULTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED GRANT MCDOUGALL LMHC (OWNER)
(352) 318-8750
Entity
Organization
Contact information
Practice address
5024 NW 27TH CT STE B, GAINESVILLE, FL 32606-6545
(352) 375-4440
(352) 378-1828
Mailing address
PO BOX 357504, GAINESVILLE, FL 32635-7504
(352) 375-4440
(352) 378-1828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH5756
FL
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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