Organization
TREVON CLOW COUNSELING THERAPIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEANNE LYNN DEPEW (OFFICE MANAGER)
(386) 428-4564
Entity
Organization
Contact information
Practice address
221 N CAUSEWAY, SUITE B, NEW SMYRNA BEACH, FL 32169-5298
(386) 428-4564
(386) 428-4539
Mailing address
221 N CAUSEWAY, SUITE B, NEW SMYRNA BEACH, FL 32169-5298
(386) 428-4564
(386) 428-4539
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH5611
FL
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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