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Organization
COASTAL CONNECTIONS COUNSELING INC
Active
Organization
COASTAL CONNECTIONS COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTAL DULLECK LMHC (CEO)
(303) 419-0730
Entity
Organization
Contact information
Practice address
34921 US HIGHWAY 19 N STE 210, PALM HARBOR, FL 34684-1969
(727) 476-7415
Mailing address
34921 US HIGHWAY 19 N STE 210, PALM HARBOR, FL 34684-1969
(727) 476-7415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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