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Organization
PROFESSIONAL COUNSELING ASSOCIATES CENTER
Active
Organization
PROFESSIONAL COUNSELING ASSOCIATES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA C OLIVARES PHD, LMHC, MCAP (CLINICAL SUPERVISOR)
(321) 442-6665
Entity
Organization
Contact information
Practice address
316 N JOHN YOUNG PKWY STE 4, KISSIMMEE, FL 34741-4981
(321) 442-6665
Mailing address
21 B ST, HAINES CITY, FL 33844-5025
(321) 442-6665
(800) 883-7015
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADC-001479-2014
FL
101YM0800X
Mental Health Counselor
Primary
MH11233
FL
Other
Enumeration date
10/07/2015
Last updated
12/04/2023
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