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Organization
VISIONARY VANGUARD GROUP
Active
Organization
VISIONARY VANGUARD GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHAN E. BROWN PHD, LMHC, NCC, BCAB (PRESIDENT & CEO)
(407) 497-0327
Entity
Organization
Contact information
Practice address
1200 OAKLEY SEAVER DR, SUITE 203, CLERMONT, FL 34711-1958
(407) 314-5373
(888) 587-1421
Mailing address
976 LAKE BALDWIN LN, SUITE 203, ORLANDO, FL 32814-6687
(407) 497-0327
(888) 587-1421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH6078
FL
101YM0800X
Mental Health Counselor
Primary
MH6575
FL
101YM0800X
Mental Health Counselor
NCC #48936
—
101YM0800X
Mental Health Counselor
NCC #54428
—
103K00000X
Behavior Analyst
0000077
FL
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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