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Organization
CLINICAL COUNSELING & CONSULTING P.A.
Active
Organization
CLINICAL COUNSELING & CONSULTING P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNY V BETANCOURT LMHC, CAP, NCC (OWNER/LICENSED PSYCHOTHERAPIST)
(305) 778-5333
Entity
Organization
Contact information
Practice address
4601 PONCE DE LEON BLVD, SUITE 260, CORAL GABLES, FL 33146-2111
(786) 763-2019
Mailing address
6282 SW 44TH ST, MIAMI, FL 33155-5141
(786) 763-2019
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
MH12372
FL
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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