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Organization
MAIN STREET COUNSELING
Active
Organization
MAIN STREET COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES RANAHAN LCSW (OWNER)
(772) 766-9152
Entity
Organization
Contact information
Practice address
1069- MAIN STREET, STE 216, SEBASTIAN, FL 32958
(772) 766-9152
(772) 766-9152
Mailing address
1036-MAIN STREET, STE 216, SEBASTIAN, FL 32958
(772) 766-9152
(772) 766-9152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9080
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HX631Z
BCBS
FL
Enumeration date
07/28/2017
Last updated
07/28/2017
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