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Organization
LAKELAND COUNSELING LLC
Active
Organization
LAKELAND COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD WILLETS LMHC (MANAGER)
(863) 614-0034
Entity
Organization
Contact information
Practice address
3221 S FLORIDA AVE, LAKELAND, FL 33803-4550
(863) 614-0034
(863) 937-0284
Mailing address
PO BOX 91872, LAKELAND, FL 33804-1872
(863) 614-0034
(863) 937-0284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 2300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073508305
NPI
FL
Enumeration date
10/01/2013
Last updated
10/01/2013
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