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Organization
PROVIDENCEPASS, LLC
Active
Organization
PROVIDENCEPASS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DEL GIUDICE (EXECUTIVE DIRECTOR)
(844) 244-2840
Entity
Organization
Contact information
Practice address
741 FRONT ST STE 210, KISSIMMEE, FL 34747-4992
(844) 244-2840
Mailing address
741 FRONT ST STE 210, KISSIMMEE, FL 34747-4992
(844) 244-2840
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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