Individual
CECELIA L. SHIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CAP
Contact information
Practice address
3112 17TH ST, SAINT CLOUD, FL 34769-6021
(407) 957-4176
(407) 957-4359
Mailing address
3112 17TH ST, SAINT CLOUD, FL 34769-6021
(407) 957-4176
(407) 957-4359
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3422
FL
101YM0800X
Mental Health Counselor
Primary
8771
FL
Other
Enumeration date
03/24/2007
Last updated
05/18/2010
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