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Organization
EXPLORATION COUNSELING: THERAPY & BEHAVIOR MODIFICATION SERVICES
Active
Organization
EXPLORATION COUNSELING: THERAPY & BEHAVIOR MODIFICATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TATESSICA COOLEY LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(813) 399-4605
Entity
Organization
Contact information
Practice address
10335 CROSS CREEK BLVD, TAMPA, FL 33647-2795
(813) 399-4605
Mailing address
9641 NORCHESTER CIR, TAMPA, FL 33647-1849
(813) 399-4605
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH14939
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669854857
—
FL
Enumeration date
03/21/2017
Last updated
03/21/2017
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