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Organization
FORT LAUDERDALE COUPLES, FAMILY & INDIVIDUAL THERAPY
Active
Organization
FORT LAUDERDALE COUPLES, FAMILY & INDIVIDUAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS B NELSON LMHC (OWNER)
(954) 789-9061
Entity
Organization
Contact information
Practice address
1881 NE 26TH ST, SUITE 221, WILTON MANORS, FL 33305-1416
(954) 789-9061
Mailing address
1881 NE 26TH ST, SUITE 221, WILTON MANORS, FL 33305-1416
(954) 789-9061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH11689
FL
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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