Individual
BECKY BLONDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 S VOLUSIA AVE, SUITE B2, ORANGE CITY, FL 32763-7625
(386) 259-0395
Mailing address
2425 S VOLUSIA AVE, SUITE B2, ORANGE CITY, FL 32763-7625
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH10100
FL
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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