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Organization
SPACE COAST COUNSELING, LLC
Active
Organization
SPACE COAST COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN M PENA MA, LMHC (OWNER-LICENSED MENTAL HEALTH COUNSE)
(321) 693-8618
Entity
Organization
Contact information
Practice address
1197 ROCKLEDGE BLVD, SUITE 1, ROCKLEDGE, FL 32955-2713
(321) 693-8618
Mailing address
1197 ROCKLEDGE BLVD, SUITE 1, ROCKLEDGE, FL 32955-2713
(321) 693-8618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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