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Organization
WILLIAM MACLEOD & GAEL MACLEOD PTR
Active
Organization
WILLIAM MACLEOD & GAEL MACLEOD PTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAEL STEPHANIE MACLEOD LMHC, CAP (OWNER)
(813) 288-8010
Entity
Organization
Contact information
Practice address
4601 W KENNEDY BLVD, SUITE 206, TAMPA, FL 33609-2500
(813) 288-8010
(813) 288-8030
Mailing address
4601 W KENNEDY BLVD, SUITE 206, TAMPA, FL 33609-2500
(813) 288-8010
(813) 288-8030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2314
FL
101YM0800X
Mental Health Counselor
Primary
MH6004
FL
Other
Enumeration date
07/02/2007
Last updated
08/20/2012
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