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Organization
THE ONYX COUNSELING CENTER, LLC
Active
Organization
THE ONYX COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN MARTENS LCSW (OWNER)
(845) 709-3255
Entity
Organization
Contact information
Practice address
6361 PRESIDENTIAL CT STE 101, FORT MYERS, FL 33919
(845) 709-3255
Mailing address
3851 TILBOR CIR, FORT MYERS, FL 33916-8046
(845) 709-3255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW12607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518384007
—
FL
Enumeration date
07/31/2018
Last updated
08/07/2018
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