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Organization
BEACON COUNSELING AND ASSOCIATES, LLC
Active
Organization
BEACON COUNSELING AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE LOPEZ MS (MENTAL HEALTH COUNSELOR)
(407) 927-9619
Entity
Organization
Contact information
Practice address
409 E CHERRY ST, KISSIMMEE, FL 34744-4227
(407) 927-9619
Mailing address
PO BOX 422111, KISSIMMEE, FL 34742-2111
(407) 927-9619
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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