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Organization
G3 LIFE APPLICATIONS INC.
Active
Organization
G3 LIFE APPLICATIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE MCCULLOUGH (PRESIDENT)
(813) 956-6817
Entity
Organization
Contact information
Practice address
6403 N 45TH ST, TAMPA, FL 33610-3980
(813) 956-6817
Mailing address
2000 E 12TH AVE UNIT 5327, TAMPA, FL 33675-9015
(813) 956-6817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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