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Organization
NEW TAMPA COUNSELING AND MEDIATION, INC.
Active
Organization
NEW TAMPA COUNSELING AND MEDIATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA CRAWFORD-CLARK LMHC, LMFT (CEO)
(813) 504-0360
Entity
Organization
Contact information
Practice address
8907 REGENTS PARK DR, SUITE 310, TAMPA, FL 33647-3401
(813) 504-0360
(813) 977-4120
Mailing address
PO BOX 46458, TAMPA, FL 33646-0104
(813) 504-0360
(813) 977-4120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHC 5109
FL
Other
Enumeration date
03/08/2007
Last updated
03/01/2012
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