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Organization
EMERGEN, INC.
Active
Organization
EMERGEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CEDRIC MADDOX LMHC (CEO)
(407) 739-7603
Entity
Organization
Contact information
Practice address
2431 ALOMA AVE, WINTER PARK, FL 32792-2541
(407) 739-7603
Mailing address
30 CHANEY CT, CASSELBERRY, FL 32707-4531
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5896
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
5896
FL
101YM0800X
Mental Health Counselor
Primary
5896
FL
101YP2500X
Professional Counselor
5896
FL
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
09/08/2014
Last updated
11/25/2014
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