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Organization
SANTA ROSA COUNSELING CENTER LLC
Active
Organization
SANTA ROSA COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN ALESIA WILLIS LMFT, LMHC (SENIOR PARTNER)
(850) 626-7779
Entity
Organization
Contact information
Practice address
5642 JONES ST, MILTON, FL 32570-2304
(850) 626-7779
(850) 626-7171
Mailing address
5642 JONES ST, MILTON, FL 32570-2304
(850) 626-7779
(850) 626-7171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH8971
FL
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
MT2297
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103671100
—
FL
Enumeration date
09/07/2007
Last updated
08/12/2022
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