Individual
MARIA KOROPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 N SEMORAN BLVD, ORLANDO, FL 32807-3531
(072) 758-9394
(407) 282-3674
Mailing address
1002 N SEMORAN BLVD, ORLANDO, FL 32807-3531
(072) 758-9394
(407) 282-3674
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
FL
Enumeration date
08/06/2018
Last updated
02/14/2019
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