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Organization
GAINESVILLE COMMUNITY COUNSELING CENTER
Active
Organization
GAINESVILLE COMMUNITY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY GREEN LMFT (EXECUTIVE DIRECTOR)
(352) 448-9120
Entity
Organization
Contact information
Practice address
7106 NW 11TH PL, GAINESVILLE, FL 32605-3157
(352) 448-9120
Mailing address
PO BOX 36, ARCHER, FL 32618-0036
(352) 448-9120
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/13/2018
Last updated
06/13/2026
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