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Organization
VILLAGE COUNSELING CENTER OF GAINESVILLE, INC.
Active
Organization
VILLAGE COUNSELING CENTER OF GAINESVILLE, INC.
Active
Other names
Village Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DYLAN EDELMAN ED.S., LMHC (PRESIDENT/CEO)
(352) 373-8189
Entity
Organization
Contact information
Practice address
3919 W NEWBERRY ROAD, SUITE 5, GAINESVILLE, FL 32607-4848
(352) 373-8189
(352) 373-8190
Mailing address
3919 W NEWBERRY RD, SUITE 5, GAINESVILLE, FL 32607-4828
(352) 373-8189
(352) 373-8190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH4473
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766664100
—
FL
Enumeration date
10/10/2016
Last updated
10/10/2016
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