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Organization

AWARENESS COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALLISON BONILLA LCSW (PSYCHOTHERAPIST)
(386) 774-1330
Entity
Organization

Contact information

Practice address
2425 S VOLUSIA AVE, SUITE B-4, ORANGE CITY, FL 32763-7625
(386) 774-1330
(888) 808-2088
Mailing address
2425 S VOLUSIA AVE, SUITE B-4, ORANGE CITY, FL 32763-7625
(386) 774-1330
(888) 808-2088

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW4260
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
764134600
FL
Enumeration date
12/18/2013
Last updated
12/18/2013
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