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Organization
DIANA GENZONE, LMHC, P.A.
Active
Organization
DIANA GENZONE, LMHC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA GENZONE L.M.H.C. (MENTAL HEALTH THERAPIST)
(561) 444-8052
Entity
Organization
Contact information
Practice address
7100 W CAMINO REAL, SUITE 302, BOCA RATON, FL 33433-5510
(561) 444-8052
Mailing address
3635 LAKEWOOD PL, COCONUT CREEK, FL 33073-2248
(561) 444-8052
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4672
FL
101YM0800X
Mental Health Counselor
Primary
MH 8474
FL
Other
Enumeration date
01/05/2013
Last updated
01/05/2013
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