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Individual

BRIAN KILLIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC/CAP

Contact information

Practice address
1501 BELCHER RD S, SUITE B-4, LARGO, FL 33771-4505
(727) 420-1146
(727) 531-0950
Mailing address
1501 BELCHER RD S, SUITE B-4, LARGO, FL 33771-4505
(727) 420-1146
(727) 531-0950

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAP 1206
FL
101YM0800X
Mental Health Counselor
MH7746
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1206
CAP
FL
01
MH7746
LMHC
FL
Enumeration date
10/30/2007
Last updated
10/30/2007
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