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Organization
PAX RENUEVO COUNSELING CENTER INC.
Active
Organization
PAX RENUEVO COUNSELING CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA LOPEZ M.ED. (ADMINISTRATIVE DIRECTOR)
(407) 870-0083
Entity
Organization
Contact information
Practice address
290 COMPETITION DR, KISSIMMEE, FL 34743-8426
(407) 870-0083
Mailing address
2408 STONEY WAY, APT. D, KISSIMMEE, FL 34744-5909
(321) 948-9907
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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