Organization
CLELLAND COUNSELING & CONSULTING SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAYLE L. CLELLAND L.C.S.W. (PSYCHOTHERAPIST/OWNER)
(772) 643-2838
Entity
Organization
Contact information
Practice address
620 HELICON TER, SEBASTIAN, FL 32958-5954
(772) 643-2838
Mailing address
620 HELICON TER, SEBASTIAN, FL 32958-5954
(772) 643-2838
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
SW9419
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598842528
INDIVIDUAL NATIONAL PROVIDER IDENTIFIER
FL
Enumeration date
10/18/2010
Last updated
03/16/2011
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