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Organization

CHRISTIAN COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WAYLON ARNOLD CARLISLE PH.D. PSYCHOLOGIST (OWNER)
(813) 763-5978
Entity
Organization

Contact information

Practice address
13309 WALDEN SHEFFIELD RD, DOVER, FL 33527-5547
(813) 763-5978
Mailing address
13309 WALDEN SHEFFIELD RD, DOVER, FL 33527-5547
(813) 763-5978

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CPY0011301094 FACCT
FL

Other

Enumeration date
09/16/2015
Last updated
09/16/2015
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