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Organization

ROBERT UPDEGROVE COUNSELING SERVICES, INC.

Active
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Organization

ROBERT UPDEGROVE COUNSELING SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT UPDEGROVE (PRESIDENT)
(407) 473-3976
Entity
Organization

Contact information

Practice address
1800 PENN ST STE 12, MELBOURNE, FL 32901-2625
(407) 473-3976
Mailing address
197 SE 2ND ST, SATELLITE BCH, FL 32937-2160
(407) 473-3976

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014949200
—
FL
01
—
1720213200
NPI
—
Enumeration date
09/06/2018
Last updated
09/06/2018
About Stedi
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